Dfw Pain Consultants, PLLC
Clinic/Center in Southlake, TX. Organization (NPI-2).
NPI number1194301002
StatusActive
Last updated in NPPESMay 12, 2025
Details
- NPI
- 1194301002
- Entity type
- Organization (NPI-2)
- Legal business name
- Dfw Pain Consultants, PLLC
- Organization subpart
- No
- Enumeration date
- Mar 22, 2021
- Certification date
- May 12, 2025
- Last updated
- May 12, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
470 E State Highway 114Southlake, TX 76092-4406
Phone 972-331-9048
Mailing address
5995 Summerside Dr Unit 798004Dallas, TX 75379-0222
Phone 214-390-7697 · Fax 972-432-6692
Authorized official
Moshe Feldhendler
Owner
2145005755
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