BADIYAN PAIN MANAGEMENT PLLC
Osteopathic Medicine at Civic Cir, Lewisville, TX

License number
Texas N8075
Category
Osteopathic Medicine
Type
Pain Medicine
Owner
Name: DR. SHAMIM JUSTIN BADIYAN M.D.
Title: OWNER
Phone: (972) 897-9859
Address
Address
190 Civic Cir STE 272, Lewisville, TX 75067
National Provider ID: 1548601925
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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BADIYAN PAIN MANAGEMENT, PLLC

190 Civic Cir STE 272, Lewisville, TX 75067

Doing business as:
Badiyan Pain Management, Pllc<br>Integrative Pain and Spine<br>Badiyan Pain Management
Registration:
Jul 11, 2013
Phone:
(972) 219-8400 (Phone)
State ID:
0801814442
Business type:
Domestic Limited Liability Company (LLC)
Managers:
S Justin Badiyan (MANAGING M), 190 Civic Cir SUITE 272, Lewisville, TX 75067,S. Justin Badiyan (Director, Managing Member),Shamim J. Badiyan Manager, inactive
Agent:
Shamim J Badiyan,190 Civic Cir SUITE 272, Lewisville, TX 75067 (Physical)
TIN:
32051462219

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