INTEGRATIVE PAIN INSTITUTE PLLC – NPI #1376097493
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

INTEGRATIVE PAIN INSTITUTE PLLC is a provider located in DALLAS, TX. NPPES has assigned the NPI number 1376097493 to INTEGRATIVE PAIN INSTITUTE PLLC on August 05, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 7 years ago on Feb 07, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for INTEGRATIVE PAIN INSTITUTE PLLC below.

NPI Profile for
INTEGRATIVE PAIN INSTITUTE PLLC

NPI Number
1376097493
Enumeration Date

(about 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
INTEGRATIVE PAIN INSTITUTE PLLC
Primary location
15110 DALLAS PKWY STE 102
DALLAS, TX 75248-4601
Phone: (972) 349-1333 Fax: (972) 792-0290
1 Other location(s):
5550 Lbj Fwy Ste 155
Dallas, TX 75240-2371
Phone: (972) 302-3489
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SHAWNA BOUDREAUX
VP OPERATIONS
Phone: (469) 422-0641
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
TX Q9070
208VP0014X
- Pain Medicine / Interventional Pain Medicine
TX Q9070
207Q00000X
- Family Medicine
TX Q9070

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.