Organization
DALLAS INTERVENTIONAL PAIN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWNA BOUDREAUX (VP OPERATIONS)
(469) 422-0641
Entity
Organization
Contact information
Practice address
5316 W PLANO PKWY, PLANO, TX 75093-4821
(972) 349-1333
Mailing address
15110 DALLAS PKWY STE 102, DALLAS, TX 75248-4601
(972) 349-1333
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
Q9070
TX
Other
Enumeration date
11/04/2016
Last updated
02/07/2019
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