Back Pain Institute Of Dallas is a
Anesthesiology - Pain Medicine based in Dallas, Texas. Back Pain Institute Of Dallas is licensed to practice in Texas (license number J0908) and their current practice location is
12200 Park Central Dr Ste 210, Dallas, Texas. It can be reached at their office (for appointments etc.) via phone at
(972) 239-7246.
NPI number for Back Pain Institute Of Dallas is 1669695748 and their current mailing address is 12200 Park Central Dr Ste 210, Dallas, Texas. Back Pain Institute Of Dallas
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1669695748.
Healthcare Provider's Profile
| Full Name | Back Pain Institute Of Dallas |
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| Type | Facility |
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| Speciality | Anesthesiology - Pain Medicine |
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| Location | 12200 Park Central Dr Ste 210, Dallas, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1669695748
- Provider Enumeration Date: 04/10/2007
- Last Update Date: 09/11/2025
Medical Identifiers
Medical identifiers for Back Pain Institute Of Dallas such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669695748 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 5636 (Texas) | Secondary |
| 111NR0400X | Chiropractor - Rehabilitation | 6788 (Texas) | Secondary |
| 225XN1300X | Occupational Therapist - Neurorehabilitation | 111742 (Texas) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | J0908 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Back Pain Institute Of Dallas is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Back Pain Institute Of Dallas
12200 Park Central Dr Ste 210,
Dallas, TX 75251-2116
Ph: (972) 239-7246 | Back Pain Institute Of Dallas
12200 Park Central Dr Ste 210,
Dallas, TX 75251-2116
Ph: (972) 239-7246 |
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