Provider Demographics
NPI:1003650458
Name:INTERVENTIONAL PAIN AND REHAB CENTER, PLLC
Entity type:Organization
Organization Name:INTERVENTIONAL PAIN AND REHAB CENTER, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HAMMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:BAIG
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:469-916-7880
Mailing Address - Street 1:7501 LAKEVIEW PKWY STE 270
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75088-9329
Mailing Address - Country:US
Mailing Address - Phone:469-916-7880
Mailing Address - Fax:469-916-7881
Practice Address - Street 1:7501 LAKEVIEW PKWY STE 270
Practice Address - Street 2:
Practice Address - City:ROWLETT
Practice Address - State:TX
Practice Address - Zip Code:75088-9329
Practice Address - Country:US
Practice Address - Phone:469-916-7880
Practice Address - Fax:469-916-7881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-20
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Multi-Specialty
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty