Basic Information
| Provider Information | |||||||||
| NPI: | 1437662145 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | DFW PAIN INSTITUTE PLLC DBA NORTEX SPINE & JOINT INSTITUTE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 981 STATE HIGHWAY 121 STE 4150 | ||||||||
| Address2: | |||||||||
| City: | ALLEN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750136150 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9728728408 | ||||||||
| FaxNumber: | 9728507352 | ||||||||
| Practice Location | |||||||||
| Address1: | 981 STATE HIGHWAY 121 STE 4150 | ||||||||
| Address2: | |||||||||
| City: | ALLEN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750136150 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9728728408 | ||||||||
| FaxNumber: | 9728507352 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/16/2017 | ||||||||
| LastUpdateDate: | 02/24/2022 | ||||||||
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| AuthorizedOfficialLastName: | BARNES | ||||||||
| AuthorizedOfficialFirstName: | SHANNON | ||||||||
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| AuthorizedOfficialTitleorPosition: | MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 9728728408 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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| NPICertificationDate: | 02/24/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2081P2900X | Q7044 | TX | N | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | Pain Medicine | 208VP0000X | N | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Pain Medicine | Pain Medicine | 208VP0014X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Pain Medicine | Interventional Pain Medicine |
No ID Information.