OrganizationActive
360 Pain and Spine PLLC
NPI 1821611153 · Pain Medicine (Anesthesiology) Physician · Richardson, TX
Provider details
- NPI number
- 1821611153
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Obaid Malik, Director
Practice location
3009 E Renner Rd Ste 100
Richardson, TX 75082-3572
Phone: (469) 589-1871
Fax: (469) 589-1872
Mailing address
3009 E Renner Rd Ste 100
Richardson, TX 75082-3572
Registry dates
- Enumerated
- 2020-05-21
- Last updated
- 2022-08-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.