Organization
DALLAS PAIN AND SPINE INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BASEM AHEMED ABDELFATTAH MD (OWNER)
(915) 241-0997
Entity
Organization
Contact information
Practice address
3453 SAINT FRANCIS AVE STE 125, DALLAS, TX 75228-6098
(972) 999-1659
(205) 729-5887
Mailing address
PO BOX 497319, GARLAND, TX 75049-7319
(972) 999-1659
(205) 729-5887
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
06/22/2021
Last updated
06/22/2021
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