Organization
CPR AND R LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NISHA JAIN MD (PRESIDENT)
(972) 702-7546
Entity
Organization
Contact information
Practice address
17742 PRESTON RD, DALLAS, TX 75252-6199
(972) 769-7246
(214) 975-3961
Mailing address
7504 SAN JACINTO PL, PLANO, TX 75024-3233
(972) 769-7246
(866) 563-4967
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
M1789
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178976003
—
TX
Enumeration date
05/18/2006
Last updated
12/08/2019
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