Omni Spine Pain Management, Pllc

NPI #1184227746 in Desoto, Texas

Provider Information

NPI Number: 1184227746
Entity Type: Organization
Organization Name: Omni Spine Pain Management, Pllc
Primary Specialty: Pain Medicine - Interventional Pain Medicine
Enumeration Date: Nov 17, 2020
Last Updated: Dec 6, 2021

Practice Location

Address: 947 SCOTLAND DR STE 107
City: Desoto
State: Texas
ZIP Code: 75115-2095
Phone: (214) 705-1200

Authorized Official

Name: WHITNEY RAE HUGHES
Title: BILLING DEPARTMENT
Phone: (972) 645-1260

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pain Medicine - Interventional Pain Medicine — Interventional Pain Medicine	208VP0014X	Primary

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