Provider Demographics
NPI:1407027980
Name:ACCESS PAIN & INJURY CLINIC LLC
Entity Type:Organization
Organization Name:ACCESS PAIN & INJURY CLINIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ZEE
Authorized Official - Middle Name:
Authorized Official - Last Name:OKUNNA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:972-438-7035
Mailing Address - Street 1:1405 E GRAUWYLER RD
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75061
Mailing Address - Country:US
Mailing Address - Phone:972-438-7035
Mailing Address - Fax:972-438-5319
Practice Address - Street 1:1405 E GRAUWYLER RD
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75061
Practice Address - Country:US
Practice Address - Phone:972-438-7035
Practice Address - Fax:972-438-5319
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ACCESS PAIN & INJURY CLINIC LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-03-12
Last Update Date:2008-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9528111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0088KVOtherBCBS
TX0088KVOtherBCBS