Provider Demographics
NPI:1679796205
Name:PAIN CARE SPECIALISTS OF PLANO, PA
Entity Type:Organization
Organization Name:PAIN CARE SPECIALISTS OF PLANO, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:I
Authorized Official - Last Name:SCHULMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-596-6700
Mailing Address - Street 1:4100 W 15TH ST STE 200
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-5856
Mailing Address - Country:US
Mailing Address - Phone:972-596-6700
Mailing Address - Fax:972-596-2818
Practice Address - Street 1:4100 W 15TH ST STE 200
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-5856
Practice Address - Country:US
Practice Address - Phone:972-596-6700
Practice Address - Fax:972-596-2818
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain