MEDICARE: PARAGON PAIN & REHABILITATION 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	2083A0300X	Addiction Medicine (Preventive Medicine) Physician
2	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1780958777
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PARAGON PAIN & REHABILITATION PLLC

Provider Business Mailing Address
First Line	:	PO BOX 1200
Second Line	:
City	:	COLLEYVILLE
State	:	TX
Zip	:	76034-1200
Country	:	US
Telephone Number	:	972-993-7498
Fax Number	:

Provider Business Practice Location Address
First Line	:	1610 RICHARDSON DR
Second Line	:
City	:	RICHARDSON
State	:	TX
Zip	:	75080-4653
Country	:	US
Telephone Number	:	972-993-7498
Fax Number	:

Authorized Official
Title or Position	:	COO
Name	:	KAREN FRANCES MCNERNEY
Credential	:
Telephone Number	:	972-993-7498

Provider Enumeration Date	:	03/08/2012
Last Update Date	:	03/09/2026

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Directions to “PARAGON PAIN & REHABILITATION PLLC ” Practice Location

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