Provider Demographics
NPI:1427522309
Name:TEXAS WELLNESS AND PAIN CENTER PLLC
Entity type:Organization
Organization Name:TEXAS WELLNESS AND PAIN CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NAUREEN
Authorized Official - Middle Name:JAFFERY
Authorized Official - Last Name:SHEIKH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:919-413-2735
Mailing Address - Street 1:2507 MEDICAL ROW STE 102
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75051-1070
Mailing Address - Country:US
Mailing Address - Phone:817-784-7500
Mailing Address - Fax:501-251-1975
Practice Address - Street 1:2507 MEDICAL ROW STE 102
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75051-1070
Practice Address - Country:US
Practice Address - Phone:817-784-7500
Practice Address - Fax:817-784-7600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-14
Last Update Date:2022-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Multi-Specialty