| Omni Spine Pain Management, Pllc | |
|
8380 Warren Pkwy Ste 100 Frisco TX 75034-4199 | |
| (214) 705-1200 | |
| (214) 705-1201 |
| Full Name | Omni Spine Pain Management, Pllc |
|---|---|
| Speciality | Pain Medicine |
| Location | 8380 Warren Pkwy Ste 100, Frisco, Texas |
| Authorized Official Name and Position | Andrew Henry Morchower (OWNER) |
| Authorized Official Contact | 2147051200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Omni Spine Pain Management, Pllc 8380 Warren Pkwy Ste 100 Frisco TX 75034-4199 Ph: (214) 705-1200 | Omni Spine Pain Management, Pllc 8380 Warren Pkwy Ste 100 Frisco TX 75034-4199 Ph: (214) 705-1200 |
| NPI Number | 1174903975 |
|---|---|
| Provider Enumeration Date | 06/05/2015 |
| Last Update Date | 06/02/2022 |
| Medicare PECOS PAC ID | 8426364688 |
|---|---|
| Medicare Enrollment ID | O20150902001533 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174903975 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | N1784 (Texas) | Primary |
| Provider Name | Andrew Henry Morchower |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437359213 PECOS PAC ID: 8426238692 Enrollment ID: I20140403001485 |
| Provider Name | Afaq Ahmed Kazi |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1215990304 PECOS PAC ID: 2567439904 Enrollment ID: I20160719001491 |
| Provider Name | Ashley Whitener |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396306130 PECOS PAC ID: 7911336235 Enrollment ID: I20200407001750 |
| Provider Name | Ashley Anne Joseph |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548618606 PECOS PAC ID: 3779864798 Enrollment ID: I20211015002178 |
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