Unknown Individual – Interventional Pain Medicine Physician, NPI 1629542188
Interventional Pain Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
PO BOX 830825
RICHARDSON, TX 750830825
Phone: (972) 636-5727
Fax: (972) 499-2540
Type: Mailing
102, South Edmonds Lane, Lewisville, Denton County, Texas, 75067, United States
LEWISVILLE, TX 750673624
Phone: (972) 798-4735
Fax: (972) 798-4736
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 75083)
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