Organization Active NPI

Memorial Pain Management

  • Interventional Pain Medicine Physician
  • Plano, TX
National Provider Identifier
1790485035
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
MEMORIAL PAIN MANAGEMENT
Practice address
5316 W Plano Pkwy
Plano, TX 75093-4821
Phone
(214) 390-7697
Fax
(972) 432-6692
NPI assigned
Mar 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Adeel Haq, MD
Title
Owner
Phone
(214) 390-7697

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208VP0014X Primary
Pain Clinic/Center 261QP3300X

Addresses

Primary practice location

5316 W Plano Pkwy
Plano, TX 75093-4821

Mailing address

3004 Communications Pkwy Ste 200-303
Plano, TX 75093-8909
Phone (214) 390-7697

National Provider Directory

National Provider Directory

Locations

960 Ridgeview Dr
Ste 140303
Allen, TX 75013

3004 Communications Pkwy
Ste 200303
Plano, TX 75093

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707868800000",
    "number": "1790485035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3004 COMMUNICATIONS PKWY STE 200-303",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938909",
            "telephone_number": "214-390-7697",
            "fax_number": "972-432-6692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5316 W PLANO PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934821",
            "telephone_number": "214-390-7697",
            "fax_number": "972-432-6692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL PAIN MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-06",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A",
        "authorized_official_last_name": "HAQ",
        "authorized_official_first_name": "ADEEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-390-7697",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.