Provider Demographics
NPI:1417509043
Name:ALLAY SPINE AND PAIN MANAGEMENT PLLC
Entity Type:Organization
Organization Name:ALLAY SPINE AND PAIN MANAGEMENT PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER/MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:S
Authorized Official - Last Name:MAXEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:469-545-1082
Mailing Address - Street 1:3725 S LAKE FOREST DR STE 114
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-1689
Mailing Address - Country:US
Mailing Address - Phone:469-545-1082
Mailing Address - Fax:469-545-1083
Practice Address - Street 1:3725 S LAKE FOREST DR STE 114
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-1689
Practice Address - Country:US
Practice Address - Phone:469-545-1082
Practice Address - Fax:469-545-1083
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-13
Last Update Date:2020-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty