| Premier Pain Centers Pa | |
|
2071 N Collins Blvd Ste 100 Richardson TX 75080-2696 | |
| (469) 454-6966 | |
| Not Available |
| Full Name | Premier Pain Centers Pa |
|---|---|
| Speciality | Anesthesiology |
| Location | 2071 N Collins Blvd Ste 100, Richardson, Texas |
| Authorized Official Name and Position | Rao K Ali (OWNER) |
| Authorized Official Contact | 7327664107 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Pain Centers Pa 2071 N Collins Blvd Ste 100 Richardson TX 75080-2696 Ph: (469) 575-6438 | Premier Pain Centers Pa 2071 N Collins Blvd Ste 100 Richardson TX 75080-2696 Ph: (469) 454-6966 |
| NPI Number | 1538656160 |
|---|---|
| Provider Enumeration Date | 04/19/2018 |
| Last Update Date | 08/20/2025 |
| Certification Date | 08/20/2025 |
| Medicare PECOS PAC ID | 8426312646 |
|---|---|
| Medicare Enrollment ID | O20180515002629 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538656160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | R2266 (Texas) | Primary |
| Provider Name | Muhammad Zulqarnain |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1700813946 PECOS PAC ID: 0446256713 Enrollment ID: I20061010000087 |
| Provider Name | William C Moore |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1891736138 PECOS PAC ID: 7012914377 Enrollment ID: I20061030000115 |
| Provider Name | Ronnie A Pollard |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104871243 PECOS PAC ID: 6507040748 Enrollment ID: I20140128000104 |
| Provider Name | Shamsideen Olamitunde Musa |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649616459 PECOS PAC ID: 9931480811 Enrollment ID: I20170109001252 |
| Provider Name | Rao K Ali |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1558694539 PECOS PAC ID: 8628106432 Enrollment ID: I20170719001904 |
| Provider Name | Christopher Price Creighton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326060468 PECOS PAC ID: 0345372363 Enrollment ID: I20170831000798 |
| Provider Name | Angela Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225549645 PECOS PAC ID: 7618215930 Enrollment ID: I20220404000368 |
| Provider Name | Padmaja Doniparthi |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1437132198 PECOS PAC ID: 8820984925 Enrollment ID: I20220928002948 |
| Provider Name | Selena M Frazier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659139384 PECOS PAC ID: 3476095944 Enrollment ID: I20240612001136 |
| Provider Name | Odai Abdalla |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689162786 PECOS PAC ID: 6406223437 Enrollment ID: I20240616000098 |
| Provider Name | Elizabeth Ndidi Chimah |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1205254026 PECOS PAC ID: 0244539351 Enrollment ID: I20241204004185 |
| Provider Name | Azali M Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457170052 PECOS PAC ID: 6608302187 Enrollment ID: I20241206002167 |
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