Organization
NORTH DALLAS PAIN MANAGEMENT CENTER, P.A.
Active
Other names
Comprehensive Pain Management Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMAD J. TARIQ MD (OWNER)
(972) 316-3344
Entity
Organization
Contact information
Practice address
1850 LAKEPOINTE DR STE 100, LEWISVILLE, TX 75057-6443
(972) 316-3344
(972) 316-3322
Mailing address
6505 W PARK BLVD STE 306-PMB # 376, PLANO, TX 75093-6208
(972) 316-3344
(972) 316-3322
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
111N00000X
Chiropractor
9368
TX
207L00000X
Anesthesiology Physician
—
—
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030369501
—
TX
05
—
184681801
—
TX
05
—
184682601
—
TX
01
—
720000125
MEDICARE RAILROAD INDIVID
TX
01
—
CJ8159
MEDICARE RAILROAD GROUP
TX
01
—
P00331394
MEDICARE RAILROAD INDIVID
TX
Enumeration date
07/09/2006
Last updated
08/18/2011
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