Provider Demographics
NPI:1437662145
Name:DFW PAIN INSTITUTE PLLC DBA NORTEX SPINE & JOINT INSTITUTE
Entity Type:Organization
Organization Name:DFW PAIN INSTITUTE PLLC DBA NORTEX SPINE & JOINT INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-872-8408
Mailing Address - Street 1:981 STATE HIGHWAY 121 STE 4150
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-6150
Mailing Address - Country:US
Mailing Address - Phone:972-872-8408
Mailing Address - Fax:972-850-7352
Practice Address - Street 1:981 STATE HIGHWAY 121 STE 4150
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-6150
Practice Address - Country:US
Practice Address - Phone:972-872-8408
Practice Address - Fax:972-850-7352
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-16
Last Update Date:2022-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ70442081P2900X
208VP0000X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty
No2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Single Specialty
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Single Specialty