Organization · NPI-2
A&M Pain Management
Pain Medicine, Interventional Pain Medicine · Rockwall, TX
NPI number1578285409
StatusActive
Last updated in NPPESJul 31, 2026
Details
- NPI
- 1578285409
- Entity type
- Organization (NPI-2)
- Legal business name
- A&M Pain Management
- Organization subpart
- No
- Enumeration date
- Sep 16, 2022
- Certification date
- Jul 31, 2026
- Last updated
- Jul 31, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208VP0014X | Pain Medicine, Interventional Pain Medicine | – | – | Yes |
Other names
- Advanced & Modern Pain Center (Doing Business As)
Practice location
1203 N Goliad StRockwall, TX 75087-7204
Phone 469-314-1169 · Fax 214-594-7775
Mailing address
1203 N Goliad StRockwall, TX 75087-7204
Phone 469-314-1169 · Fax 214-594-7775
Authorized official
Matthew Michael Johnson
Physician
9192257774
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