Organization
OMNI SPINE PAIN MANAGEMENT, PLLC
Active
Other names
Omni Spine Pain Management
Organization subpart
No
Provider details
NPI number
Authorized official
MS. WHITNEY RAE HUGHES (BILLING DEPARTMENT)
(972) 645-1260
Entity
Organization
Contact information
Practice address
6243 RETAIL RD STE 500, DALLAS, TX 75231-7867
(214) 705-1200
(214) 705-1201
Mailing address
8380 WARREN PKWY STE 100, FRISCO, TX 75034-4199
(214) 705-1200
(214) 705-1201
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
N1784
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N1784
STATE LICENSE NUMBER
TX
Enumeration date
03/30/2016
Last updated
07/22/2021
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