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Organization

NORTH DALLAS PAIN AND WELLNESS, PLLC

Active
Other names
Dallas Pain and Wellness
Organization subpart
No

Provider details

NPI number
Authorized official
DANIEL M SOTO (MEMBER MANAGER/PRESIDENT)
(972) 392-4476
Entity
Organization

Contact information

Practice address
15110 DALLAS PKWY STE 102, DALLAS, TX 75248-4601
(972) 392-4476
Mailing address
15110 DALLAS PKWY STE 102, DALLAS, TX 75248-4601
(972) 392-4476

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
207QS0010X
Sports Medicine (Family Medicine) Physician
208100000X
Physical Medicine & Rehabilitation Physician
Primary
208VP0000X
Pain Medicine Physician
225100000X
Physical Therapist
225200000X
Physical Therapy Assistant
261QM1300X
Multi-Specialty Clinic/Center
TX
332B00000X
Durable Medical Equipment & Medical Supplies
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Enumeration date
10/29/2015
Last updated
01/29/2019
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