Omni Pain Clinic Inc

LBN: Omni Pain Clinic Inc
Omni Pain Clinic Inc is an health care organization with primary practice located at 513 W Jefferson Blvd. Suite 170, Grand Prairie TX 75051-1639. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is the primary health care specialty. Omni Pain Clinic Inc can be contacted via phone (972) 642-5855, or through Ikhisemojie, Augusta U. via phone (972) 642-5855.

Contact Information

Primary practice address
513 W Jefferson Blvd. Suite 170 Grand Prairie TX 75051-1639
Phone: (972) 642-5855
Fax: (972) 642-5853
Website:
Map and Directions
Authorized official contact:
Name: Ikhisemojie, Augusta U. Doctor of Medicine (MD)
Phone: (972) 642-5855

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X P1462 Texas
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X P1462 Texas

Profile Details

NPI number 1841543097
LBN Legal business name Omni Pain Clinic Inc
DBA Doing business as
Authorized official Ikhisemojie, Augusta U. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2012
Last updated Nov 2nd, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1841543097 NPPES
Texas Other P1462 TEXAS LISENCE

Popular Providers