Provider Demographics
NPI:1679078075
Name:SP PAIN PARTNERS, PLLC
Entity Type:Organization
Organization Name:SP PAIN PARTNERS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:SPICER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:469-559-5880
Mailing Address - Street 1:PO BOX 674293
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75267-4293
Mailing Address - Country:US
Mailing Address - Phone:832-945-3963
Mailing Address - Fax:866-407-6116
Practice Address - Street 1:6000 W SPRING CREEK PKWY STE 150
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-4111
Practice Address - Country:US
Practice Address - Phone:469-559-5880
Practice Address - Fax:888-514-7033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-27
Last Update Date:2018-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty
No367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Multi-Specialty