Organization
360 PAIN AND SPINE PLLC
Active
Other names
Renner Pain And Spine
Organization subpart
No
Provider details
NPI number
Authorized official
OBAID MALIK MD (DIRECTOR)
(469) 589-1871
Entity
Organization
Contact information
Practice address
3009 E RENNER RD STE 100, RICHARDSON, TX 75082-3572
(469) 589-1871
(469) 589-1872
Mailing address
3009 E RENNER RD STE 100, RICHARDSON, TX 75082-3572
(469) 589-1871
(469) 589-1872
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
2084N0400X
Neurology Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Enumeration date
05/21/2020
Last updated
08/18/2022
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