Active NPI
Paragon Pain & Rehabilitation PLLC
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Richardson, TX
National Provider Identifier
1780958777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Legal business name
- PARAGON PAIN & REHABILITATION PLLC
- Practice address
- 1610 Richardson Dr
Richardson, TX 75080-4653 - Phone
- (972) 993-7498
- NPI assigned
- Mar 8, 2012
- Last updated
- Mar 9, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karen Frances McNerney
- Title
- Coo
- Phone
- (972) 993-7498
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | NU | Primary | |
| Addiction Medicine (Preventive Medicine) Physician | 2083A0300X | NU |
Addresses
Primary practice location
1610 Richardson Dr
Richardson, TX 75080-4653
Mailing address
PO Box 1200
Colleyville, TX 76034-1200
Phone (972) 993-7498
Other practice location 1
6700 Heritage Pkwy
Rockwall, TX 75087-8748
Phone (972) 993-7498
Other practice location 2
619 N Britain Rd
Irving, TX 75061-7609
Phone (972) 993-7498
Other practice location 3
3160 Gus Thomasson Rd
Mesquite, TX 75150-4048
Phone (972) 993-7498
Other practice location 4
750 Highway 352
Mesquite, TX 75149-6824
Phone (972) 993-7498
Other practice location 5
4315 Hopkins Ave
Dallas, TX 75209-3026
Phone (972) 993-7498
Other practice location 6
900 Westpark Way
Euless, TX 76040-3977
Phone (972) 993-7498
Other practice location 7
5242 Medical Dr
Rockwall, TX 75032-5001
Phone (972) 993-7498
Other practice location 8
561 Ridgecrest Rd
Forney, TX 75126-0146
Phone (972) 993-7498
Other practice location 9
301 Lincoln Park Dr
Cleburne, TX 76033-7016
Phone (972) 993-7498
Other practice location 10
1401 W Princeton Dr
Princeton, TX 75407-9610
Phone (972) 993-7498
Other practice location 11
9300 Lakeview Pkwy
Rowlett, TX 75088-4476
Phone (972) 203-3600
Other practice location 12
3309 Dilido Rd
Dallas, TX 75228-5536
Phone (972) 993-7498
Other practice location 13
206 Walls Dr
Cleburne, TX 76033-4045
Phone (972) 993-7498
Other practice location 14
205 Beech St
Farmersville, TX 75442-2703
Phone (972) 993-7498
Other practice location 15
1855 Cheyenne Dr
Carrollton, TX 75010-2201
Phone (972) 993-7498
Other practice location 16
2535 W Pleasant Run Rd
Lancaster, TX 75146-1111
Phone (972) 993-7498
Other practice location 17
206 Storrs St
Rockwall, TX 75087-4099
Phone (972) 993-7498
Other practice location 18
250 W British Flying School Blvd
Terrell, TX 75160-0043
Phone (972) 993-7498
Other practice location 19
1801 Pearson Ave
McKinney, TX 75069-3464
Phone (972) 993-7498
Other practice location 20
3421 Story Rd W
Irving, TX 75038-3571
Phone (972) 993-7498
Other practice location 21
1870 John King Blvd
Rockwall, TX 75032-6216
Phone (972) 993-7498
Other practice location 22
204 W Nash St
Terrell, TX 75160-2607
Phone (972) 993-7498
Other practice location 23
224 W Pleasant Run Rd
Cedar Hill, TX 75104-5402
Phone (972) 993-7498
Other practice location 24
7100 Trail Lake Dr
Ft Worth, TX 76123-1969
Phone (972) 993-7498
Other practice location 25
2000 W Audie Murphy Pkwy
Farmersville, TX 75442-3427
Phone (972) 993-7498
Other practice location 26
1112 Gibbins Rd
Arlington, TX 76011-5618
Phone (972) 993-7498
Other practice location 27
110 Dylan Way
Midlothian, TX 76065-3890
Phone (972) 993-7498
Other practice location 28
4200 Live Oak St
Dallas, TX 75204-6733
Phone (972) 993-7498
Other practice location 29
9300 Lakeview Pkwy
Rowlett, TX 75088-4476
Phone (972) 993-7498
Other practice location 30
1960 Bedford Rd
Bedford, TX 76021-5722
Phone (972) 993-7468
Other practice location 31
1448 Houston St
Wills Point, TX 75169-3120
Phone (972) 993-7498
Other practice location 32
2416 Elizabeth Ln
Seagoville, TX 75159-2702
Phone (972) 993-7498
Other practice location 33
6825 Harry Hines Blvd
Dallas, TX 75235-4210
Phone (972) 993-7498
Other practice location 34
330 W Camp Wisdom Rd
Duncanville, TX 75116-3331
Phone (972) 993-7498
Other practice location 35
700 E Vista Ridge Mall Dr
Lewisville, TX 75067-8339
Phone (972) 993-7498 ext. 37498
Other practice location 36
901 I-30 Frontage Road
Royse City, TX 75189-7518
Phone (972) 993-7498
Other practice location 37
4240 Golden Triangle Blvd
Fort Worth, TX 76244-4843
Phone (972) 993-7498
Other practice location 38
3109 Kings Ct
Richland Hills, TX 76118-6366
Phone (972) 993-7498
Other practice location 39
4600 Heritage Trace Pkwy
Fort Worth, TX 76244-8900
Phone (972) 993-7498
Other practice location 40
2625 Belt Line Rd
Garland, TX 75044-7003
Phone (972) 993-7498 ext. 37498
Other practice location 41
2918 Duncanville Rd
Dallas, TX 75211-7407
Phone (972) 993-7498
Other practice location 42
4201 Stonegate Blvd
Ft Worth, TX 76109-9503
Phone (972) 993-7498
Other practice location 43
1525 Pleasant Valley Rd
Garland, TX 75040-4327
Phone (972) 993-7498
Other practice location 44
3600 Angle Ave
Ft Worth, TX 76106-3559
Phone (972) 993-7498
Other practice location 45
225 N Sowers Rd
Irving, TX 75061-7449
Phone (972) 993-7468
Other practice location 46
3001 S Houston St
Kaufman, TX 75142-3621
Phone (972) 993-7498
Other practice location 47
900 Wiggins Pkwy
Mesquite, TX 75150-1400
Phone (972) 993-7498
Other practice location 48
424 S Adams St
Fort Worth, TX 76104-1003
Phone (972) 993-7498
Other practice location 49
321 N Shiloh Rd
Garland, TX 75042-6610
Phone (972) 993-7498
Other practice location 50
3617 O'Hare Drive
Mesquite, TX 75150
Phone (972) 993-7498
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 324700901 | Medicaid | TX | |
| 17095947 | Medicaid | TX | |
| 1709594-06 | Medicaid | TX | |
| 312019801 | Medicaid | TX | |
| 1788275-06 | Medicaid | TX | |
| 178827507 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
721 Dunaway Ln
Azle, TX 76020
Phone (817) 444-2536
7610 N Stemmons Fwy
Ste 360
Dallas, TX 75247
Phone (972) 203-3600
2000 W Audie Murphy Pkwy
Farmersville, TX 75442
Phone (972) 784-7700
341 Wheatfield Dr
Ste 120
Sunnyvale, TX 75182
Phone (972) 203-3600
250 W British Flying School Blvd
Terrell, TX 75160
Phone (469) 434-1145
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IFFBCD
Practitioners & affiliated clinicians
Practitioners 18
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pain Medicine Physician
- Paris, TX
- NPI 1801844741
Physical Medicine & Rehabilitation
-
- Pain Medicine Physician
- Paris, TX
- NPI 1750311726
Physical Medicine & Rehabilitation
-
- Acute Care Nurse Practitioner
- Irving, TX
- NPI 1407367592
-
- Family Nurse Practitioner
- Irving, TX
- NPI 1780925396
-
- Adult Health Nurse Practitioner
- Bryan, TX
- NPI 1407256894
-
- Acute Care Nurse Practitioner
- Arlington, TX
- NPI 1548919004
-
- Family Nurse Practitioner
- Paris, TX
- NPI 1790273464
Physical Medicine & Rehabilitation
-
- Family Nurse Practitioner
- Fort Worth, TX
- NPI 1952076374
-
- Pain Medicine Physician
- Grapevine, TX
- NPI 1437696184
Physical Medicine & Rehabilitation
-
- Pain Medicine Physician
- Paris, TX
- NPI 1861410995
Physical Medicine & Rehabilitation
-
- Family Nurse Practitioner
- Grapevine, TX
- NPI 1598435844
-
- Acute Care Nurse Practitioner
- Dallas, TX
- NPI 1093581100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331164800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773014400000",
"number": "1780958777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1200",
"city": "COLLEYVILLE",
"state": "TX",
"postal_code": "760341200",
"telephone_number": "972-993-7498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1610 RICHARDSON DR",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750804653",
"telephone_number": "972-993-7498"
}
],
"practiceLocations": [
{
"address_1": "6700 Heritage Pkwy",
"address_purpose": "LOCATION",
"city": "Rockwall",
"state": "TX",
"postal_code": "750878748",
"country_code": "US",
"telephone_number": "972-993-7498",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "619 N Britain Rd",
"address_purpose": "LOCATION",
"city": "Irving",
"state": "TX",
"postal_code": "750617609",
"country_code": "US",
"telephone_number": "972-993-7498",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3160 Gus Thomasson Rd",
"address_purpose": "LOCATION",
"city": "Mesquite",
"state": "TX",
"postal_code": "751504048",
"country_code": "US",
"telephone_number": "972-993-7498",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "750 Highway 352",
"address_purpose": "LOCATION",
"city": "Mesquite",
"state": "TX",
"postal_code": "751496824",
"country_code": "US",
"telephone_number": "972-993-7498",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4315 Hopkins Ave",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752093026",
"country_code": "US",
"telephone_number": "972-993-7498",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "900 Westpark Way",
"address_purpose": "LOCATION",
"city": "Euless",
"state": "TX",
"postal_code": "760403977",
"country_code": "US",
"telephone_number": "972-993-7498",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5242 Medical Dr",
"address_purpose": "LOCATION",
"city": "Rockwall",
"state": "TX",
"postal_code": "750325001",
"country_code": "US",
"telephone_number": "972-993-7498",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "561 Ridgecrest Rd",
"address_purpose": "LOCATION",
"city": "Forney",
"state": "TX",
"postal_code": "751260146",
"country_code": "US",
"telephone_number": "972-993-7498",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "301 Lincoln Park Dr",
"address_purpose": "LOCATION",
"city": "Cleburne",
"state": "TX",
"postal_code": "760337016",
"country_code": "US",
"telephone_number": "972-993-7498",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1401 W Princeton Dr",
"address_purpose": "LOCATION",
"city": "Princeton",
"state": "TX",
"postal_code": "754079610",
"country_code": "US",
"telephone_number": "972-993-7498",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9300 Lakeview Pkwy",
"address_purpose": "LOCATION",
"city": "Rowlett",
"state": "TX",
"postal_code": "750884476",
"country_code": "US",
"telephone_number": "972-203-3600",
"fax_number": "972-203-3601",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3309 Dilido Rd",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752285536",
"country_code": "US",
"telephone_number": "972-993-7498",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "206 Walls Dr",
"address_purpose": "LOCATION",
"city": "Cleburne",
"state": "TX",
"postal_code": "760334045",
"country_code": "US",
"telephone_number": "972-993-7498",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "205 Beech St",
"address_purpose": "LOCATION",
"city": "Farmersville",
"state": "TX",
"postal_code": "754422703",
"country_code": "US",
"telephone_number": "972-993-7498",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1855 Cheyenne Dr",
"address_purpose": "LOCATION",
"city": "Carrollton",
"state": "TX",
"postal_code": "750102201",
"country_code": "US",
"telephone_number": "972-993-7498",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2535 W Pleasant Run Rd",
"address_purpose": "LOCATION",
"city": "Lancaster",
"state": "TX",
"postal_code": "751461111",
"country_code": "US",
"telephone_number": "972-993-7498",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "206 Storrs St",
"address_purpose": "LOCATION",
"city": "Rockwall",
"state": "TX",
"postal_code": "750874099",
"country_code": "US",
"telephone_number": "972-993-7498",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "250 W British Flying School Blvd",
"address_purpose": "LOCATION",
"city": "Terrell",
"state": "TX",
"postal_code": "751600043",
"country_code": "US",
"telephone_number": "972-993-7498",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1801 Pearson Ave",
"address_purpose": "LOCATION",
"city": "McKinney",
"state": "TX",
"postal_code": "750693464",
"country_code": "US",
"telephone_number": "972-993-7498",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3421 Story Rd W",
"address_purpose": "LOCATION",
"city": "Irving",
"state": "TX",
"postal_code": "750383571",
"country_code": "US",
"telephone_number": "972-993-7498",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1870 John King Blvd",
"address_purpose": "LOCATION",
"city": "Rockwall",
"state": "TX",
"postal_code": "750326216",
"country_code": "US",
"telephone_number": "972-993-7498",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "204 W Nash St",
"address_purpose": "LOCATION",
"city": "Terrell",
"state": "TX",
"postal_code": "751602607",
"country_code": "US",
"telephone_number": "972-993-7498",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "224 W Pleasant Run Rd",
"address_purpose": "LOCATION",
"city": "Cedar Hill",
"state": "TX",
"postal_code": "751045402",
"country_code": "US",
"telephone_number": "972-993-7498",
"fax_number": "972-203-3601",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7100 Trail Lake Dr",
"address_purpose": "LOCATION",
"city": "Ft Worth",
"state": "TX",
"postal_code": "761231969",
"country_code": "US",
"telephone_number": "972-993-7498",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2000 W Audie Murphy Pkwy",
"address_purpose": "LOCATION",
"city": "Farmersville",
"state": "TX",
"postal_code": "754423427",
"country_code": "US",
"telephone_number": "972-993-7498",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1112 Gibbins Rd",
"address_purpose": "LOCATION",
"city": "Arlington",
"state": "TX",
"postal_code": "760115618",
"country_code": "US",
"telephone_number": "972-993-7498",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "110 Dylan Way",
"address_purpose": "LOCATION",
"city": "Midlothian",
"state": "TX",
"postal_code": "760653890",
"country_code": "US",
"telephone_number": "972-993-7498",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4200 Live Oak St",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752046733",
"country_code": "US",
"telephone_number": "972-993-7498",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9300 Lakeview Pkwy",
"address_purpose": "LOCATION",
"city": "Rowlett",
"state": "TX",
"postal_code": "750884476",
"country_code": "US",
"telephone_number": "972-993-7498",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1960 Bedford Rd",
"address_purpose": "LOCATION",
"city": "Bedford",
"state": "TX",
"postal_code": "760215722",
"country_code": "US",
"telephone_number": "972-993-7468",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1448 Houston St",
"address_purpose": "LOCATION",
"city": "Wills Point",
"state": "TX",
"postal_code": "751693120",
"country_code": "US",
"telephone_number": "972-993-7498",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2416 Elizabeth Ln",
"address_purpose": "LOCATION",
"city": "Seagoville",
"state": "TX",
"postal_code": "751592702",
"country_code": "US",
"telephone_number": "972-993-7498",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6825 Harry Hines Blvd",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752354210",
"country_code": "US",
"telephone_number": "972-993-7498",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "330 W Camp Wisdom Rd",
"address_purpose": "LOCATION",
"city": "Duncanville",
"state": "TX",
"postal_code": "751163331",
"country_code": "US",
"telephone_number": "972-993-7498",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "700 E Vista Ridge Mall Dr",
"address_purpose": "LOCATION",
"city": "Lewisville",
"state": "TX",
"postal_code": "750678339",
"country_code": "US",
"telephone_number": "972-993-7498 x37498",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "901 I-30 Frontage Road",
"address_purpose": "LOCATION",
"city": "Royse City",
"state": "TX",
"postal_code": "751897518",
"country_code": "US",
"telephone_number": "972-993-7498",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4240 Golden Triangle Blvd",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "762444843",
"country_code": "US",
"telephone_number": "972-993-7498",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3109 Kings Ct",
"address_purpose": "LOCATION",
"city": "Richland Hills",
"state": "TX",
"postal_code": "761186366",
"country_code": "US",
"telephone_number": "972-993-7498",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4600 Heritage Trace Pkwy",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "762448900",
"country_code": "US",
"telephone_number": "972-993-7498",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2625 Belt Line Rd",
"address_purpose": "LOCATION",
"city": "Garland",
"state": "TX",
"postal_code": "750447003",
"country_code": "US",
"telephone_number": "972-993-7498 x37498",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2918 Duncanville Rd",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752117407",
"country_code": "US",
"telephone_number": "972-993-7498",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4201 Stonegate Blvd",
"address_purpose": "LOCATION",
"city": "Ft Worth",
"state": "TX",
"postal_code": "761099503",
"country_code": "US",
"telephone_number": "972-993-7498",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1525 Pleasant Valley Rd",
"address_purpose": "LOCATION",
"city": "Garland",
"state": "TX",
"postal_code": "750404327",
"country_code": "US",
"telephone_number": "972-993-7498",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3600 Angle Ave",
"address_purpose": "LOCATION",
"city": "Ft Worth",
"state": "TX",
"postal_code": "761063559",
"country_code": "US",
"telephone_number": "972-993-7498",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "225 N Sowers Rd",
"address_purpose": "LOCATION",
"city": "Irving",
"state": "TX",
"postal_code": "750617449",
"country_code": "US",
"telephone_number": "972-993-7468",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3001 S Houston St",
"address_purpose": "LOCATION",
"city": "Kaufman",
"state": "TX",
"postal_code": "751423621",
"country_code": "US",
"telephone_number": "972-993-7498",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "900 Wiggins Pkwy",
"address_purpose": "LOCATION",
"city": "Mesquite",
"state": "TX",
"postal_code": "751501400",
"country_code": "US",
"telephone_number": "972-993-7498",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "424 S Adams St",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "761041003",
"country_code": "US",
"telephone_number": "972-993-7498",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "321 N Shiloh Rd",
"address_purpose": "LOCATION",
"city": "Garland",
"state": "TX",
"postal_code": "750426610",
"country_code": "US",
"telephone_number": "972-993-7498",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3617 O'Hare Drive",
"address_purpose": "LOCATION",
"city": "Mesquite",
"state": "TX",
"postal_code": "75150",
"country_code": "US",
"telephone_number": "972-993-7498",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PARAGON PAIN & REHABILITATION PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-08",
"last_updated": "2026-03-09",
"certification_date": "2026-03-09",
"status": "A",
"authorized_official_last_name": "MCNERNEY",
"authorized_official_first_name": "KAREN",
"authorized_official_middle_name": "FRANCES",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "972-993-7498"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "2083A0300X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Addiction Medicine",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "324700901",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "17095947",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1709594-06",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "312019801",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1788275-06",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "178827507",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.