NPI 1821611153 · live from the CMS NPI Registry
360 Pain And Spine PLLC
Anesthesiology, Pain Medicine in Richardson, TX. National Provider Identifier 1821611153, active.
NPI record
| NPI | 1821611153 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology, Pain Medicine 207LP2900X |
| Practice location | 3009 E Renner Rd Ste 100, Richardson, TX 75082 |
| Practice phone | 469-589-1871 |
| Enumerated | May 21, 2020 |
| Last updated | August 18, 2022 |
| Authorized official | Obaid Malik, Director |
| Other names | Renner Pain And Spine |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology | 207L00000X | — |
| Pain Medicine, Interventional Pain Medicine | 208VP0014X | — |
| Psychiatry & Neurology, Neurology | 2084N0400X | — |
| Anesthesiology, Pain Medicine primary | 207LP2900X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.