Collaborative Health Group, PLLC
Pain Medicine, Interventional Pain Medicine in Dallas, TX. Organization (NPI-2).
NPI number1386265353
StatusActive
Last updated in NPPESSep 20, 2023
Details
- NPI
- 1386265353
- Entity type
- Organization (NPI-2)
- Legal business name
- Collaborative Health Group, PLLC
- Organization subpart
- No
- Enumeration date
- May 1, 2020
- Certification date
- Sep 20, 2023
- Last updated
- Sep 20, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208VP0014X | Pain Medicine, Interventional Pain Medicine | – | – | Yes |
Other names
- Vital Spine And Pain (Doing Business As)
Practice location
9301 N Central Expy Ste 685Dallas, TX 75231-0816
Phone 469-697-7300 · Fax 469-697-7302
Mailing address
9301 N Central Expy Ste 685Dallas, TX 75231-0816
Phone 469-697-7300 · Fax 469-697-7302
Authorized official
Jeffrey Lawrence Wasserman
Managing Member
2148862108
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