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NPI Code Detail

MEDICARE: ELDORADO PAIN MANAGEMENT

MEDICARE: ELDORADO PAIN MANAGEMENT
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
1261QP3300XPain Clinic/Center
2208VP0014XInterventional Pain Medicine Physician

General Provider Information

NPI Number : 1699359737
Entity Type Code : Organization
Provider Name (Legal Business Name) : ELDORADO PAIN MANAGEMENT
Provider Business Mailing Address
First Line : 3004 COMMUNICATIONS PKWY STE 200-271
Second Line :
City : PLANO
State : TX
Zip : 75093-8909
Country : US
Telephone Number : 214-390-7697
Fax Number : 972-432-6692
Provider Business Practice Location Address
First Line : 8501 WADE BLVD STE 1330
Second Line :
City : FRISCO
State : TX
Zip : 75034-0245
Country : US
Telephone Number : 214-618-0853
Fax Number : 214-618-0859
Authorized Official
Title or Position : OWNER
Name : DR. ADEEL HAQ
Credential : MD
Telephone Number : 214-390-7697
Provider Enumeration Date : 05/05/2021
Last Update Date : 02/13/2024

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Directions to “ELDORADO PAIN MANAGEMENT ” Practice Location

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