Organization
OMEGA PAIN CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARIF BASIR KHAN (PRESIDENT)
(972) 952-0290
Entity
Organization
Contact information
Practice address
2201 N CENTRAL EXPY STE 171, RICHARDSON, TX 75080-2763
(972) 952-0290
Mailing address
PO BOX 678054, DALLAS, TX 75267-8054
(972) 952-0290
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
L5788
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002KD
BLUE CROSS BLUE SHIELD
TX
Enumeration date
06/24/2006
Last updated
01/30/2008
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