MEDICARE: KUWASHIMA PAIN MANAGEMENT PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223X2210X	Orofacial Pain Dentistry

General Provider Information

NPI Number	:	1871430884
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KUWASHIMA PAIN MANAGEMENT PLLC

Provider Business Mailing Address
First Line	:	6413 GLENHOLLOW DR
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-8026
Country	:	US
Telephone Number	:	213-820-7912
Fax Number	:

Provider Business Practice Location Address
First Line	:	4222 TRINITY MILLS RD STE 240
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75287-7659
Country	:	US
Telephone Number	:	213-820-7912
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. AZUSA KUWASHIMA
Credential	:
Telephone Number	:	213-820-7912

Provider Enumeration Date	:	04/29/2026
Last Update Date	:	04/29/2026

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