Provider Demographics
NPI:1235445073
Name:PRINCIPAL PAIN AND SPINE CONSULTANTS, P. A.
Entity Type:Organization
Organization Name:PRINCIPAL PAIN AND SPINE CONSULTANTS, P. A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:BINU
Authorized Official - Last Name:KURIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:972-316-7270
Mailing Address - Street 1:1809 GOLDEN TRAIL CT
Mailing Address - Street 2:SUITE 110
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75010-4665
Mailing Address - Country:US
Mailing Address - Phone:214-497-7313
Mailing Address - Fax:
Practice Address - Street 1:1809 GOLDEN TRAIL CT
Practice Address - Street 2:SUITE 110
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75010-4665
Practice Address - Country:US
Practice Address - Phone:214-497-7313
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-30
Last Update Date:2024-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL9300208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty