| Omni Pain Clinic Inc | |
|
513 W Jefferson Blvd. Suite 170 Grand Prairie TX 75051-1639 | |
| (972) 642-5855 | |
| (972) 642-5853 |
| Full Name | Omni Pain Clinic Inc |
|---|---|
| Speciality | Pain Medicine - Pain Medicine |
| Location | 513 W Jefferson Blvd., Grand Prairie, Texas |
| Authorized Official Name and Position | Augusta U. Ikhisemojie (CEO) |
| Authorized Official Contact | 9726425855 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Omni Pain Clinic Inc P O Box 294822 Lewisville TX 75029-4822 Ph: (972) 642-5855 | Omni Pain Clinic Inc 513 W Jefferson Blvd. Suite 170 Grand Prairie TX 75051-1639 Ph: (972) 642-5855 |
| NPI Number | 1841543097 |
|---|---|
| Provider Enumeration Date | 10/24/2012 |
| Last Update Date | 11/02/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841543097 | NPI | - | NPPES |
| P1462 | Other | TX | TEXAS LISENCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | P1462 (Texas) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | P1462 (Texas) | Primary |
Arlington Primary Care, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2950 W. Camp Wisdom Rd., Suite 100, Grand Prairie, TX 75052 Phone: 972-602-4466 Fax: 972-602-4471 | |
Emergentcare2go Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 929 W Pioneer Pkwy Ste A, Grand Prairie, TX 75051 Phone: 214-612-6164 Fax: 817-796-1100 | |
Purple Hearts Primary Care Services, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 688 W Pioneer Pkwy Ste 120, Grand Prairie, TX 75051 Phone: 817-969-4651 Fax: 214-710-2188 | |
Dfw Better Care Physicians, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5204 S Hwy 360 Ste 400, Grand Prairie, TX 75052 Phone: 972-755-1785 Fax: 972-602-4522 | |
Grand Prairie Physicians Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 517 N Carrier Pkwy Ste J, Grand Prairie, TX 75050 Phone: 214-677-0639 Fax: 214-677-0539 | |
Clinica Integral Familia Sana Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2950 W Camp Wisdom Rd Ste 100, Grand Prairie, TX 75052 Phone: 214-235-0114 Fax: 214-677-0043 | |
M & M Personal Care Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2032 Crosbyton Ln, Grand Prairie, TX 75052 Phone: 214-450-8409 |