Provider Demographics
NPI:1972982734
Name:NORTH TEXAS SYNERGY PAIN & REHAB PLLC
Entity Type:Organization
Organization Name:NORTH TEXAS SYNERGY PAIN & REHAB PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:R.
Authorized Official - Middle Name:JAMIE
Authorized Official - Last Name:SPICER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-973-9106
Mailing Address - Street 1:11500 STATE HIGHWAY 121 STE 420
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-9346
Mailing Address - Country:US
Mailing Address - Phone:469-559-5880
Mailing Address - Fax:888-514-7033
Practice Address - Street 1:11500 STATE HIGHWAY 121 STE 420
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-9346
Practice Address - Country:US
Practice Address - Phone:469-559-5880
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-27
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Single Specialty