Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Omni Pain Clinic Inc

Organization Family Medicine Physician · NPI 1841543097

Omni Pain Clinic Inc provides Family Medicine Physician services in Grand Prairie, Texas. Licensed in Texas. Registered with an NPI since 2012.

Licensed in
TX
In the registry since
2012
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

513 W Jefferson Blvd Ste 170
Grand Prairie, TX 75051-1639 Not confirmed with CMS for 13 years — call before visiting
Phone: (972) 642-5855
Fax: (972) 642-5853
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine Physician (primary) Taxonomy 208VP0000X · Licence P1462 (TX)
Family Medicine Physician Taxonomy 207Q00000X · Licence P1462 (TX)

Record details

NPI number1841543097
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Augusta Ikhisemojie — Ceo · (972) 642-5855
NPI enumeratedOctober 24, 2012
Last updated in NPPESNovember 2, 2012
Mailing addressP O Box 294822, Lewisville, TX 75029-4822

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