Spine Pain Nm LLC
NPI 1902405657 · Electrodiagnostic Medicine Physician · Ft Worth, TX
Spine Pain Nm LLC is a Electrodiagnostic Medicine Physician organization in Ft Worth, TX (NPI 1902405657).
Provider details
- NPI number
- 1902405657
- Entity type
- Organization
- Primary specialty
- Electrodiagnostic Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gina Sullivan, Practice Administratoe(903) 259-0550
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-10-23
- Last updated
- 2020-10-23
- Certified
- 2020-10-23
Frequently asked questions
- What is Spine Pain Nm LLC's NPI number?
- Spine Pain Nm LLC's National Provider Identifier (NPI) is 1902405657, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Spine Pain Nm LLC?
- Spine Pain Nm LLC is classified in the NPPES registry as Electrodiagnostic Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Spine Pain Nm LLC located?
- Spine Pain Nm LLC's practice location on file with NPPES is 111 Boland St Ste 211, Ft Worth, TX 76107-1265.
- What is Spine Pain Nm LLC's phone number?
- The practice phone number listed in the NPPES registry for Spine Pain Nm LLC is (817) 529-8488.
- Who is the authorized official for Spine Pain Nm LLC?
- The authorized official listed on Spine Pain Nm LLC's NPPES record is Gina Sullivan, Practice Administratoe. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Spine Pain Nm LLC's NPI active?
- Yes — Spine Pain Nm LLC's NPI (1902405657) is active in the NPPES registry as of the last update on 2020-10-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.