Organization
MILLENNIUM PAIN CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDRA MARSH (PRESIDENT & CEO)
(310) 258-2400
Entity
Organization
Contact information
Practice address
13111 N CENTRAL EXPY, SUITE 150, DALLAS, TX 75243-1138
(972) 239-2190
(972) 239-5214
Mailing address
13111 N CENTRAL EXPY, SUITE 150, DALLAS, TX 75243-1138
(972) 239-2190
(972) 239-5214
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Enumeration date
12/13/2006
Last updated
09/11/2025
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