Provider Demographics
NPI:1548739964
Name:PINNACLE PAIN MEDICINE PLLC
Entity type:Organization
Organization Name:PINNACLE PAIN MEDICINE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ASADULLAH
Authorized Official - Middle Name:
Authorized Official - Last Name:HUSSAIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:940-453-1491
Mailing Address - Street 1:3201 COLORADO BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76210-6863
Mailing Address - Country:US
Mailing Address - Phone:940-483-9898
Mailing Address - Fax:940-383-0643
Practice Address - Street 1:3201 COLORADO BLVD STE 101
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76210-6863
Practice Address - Country:US
Practice Address - Phone:940-483-9898
Practice Address - Fax:940-383-0643
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-14
Last Update Date:2020-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Multi-Specialty
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1285055483OtherDEEPTI KHULLAR
TX1982976346OtherMEGAN BRIDGES
TX1174500540OtherASAD HUSSAIN
TX1093792467OtherMARK LOWE
TX401540601Medicaid