Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ispine (Primetime Rehabilitation and Performance Division)

Organization Pain Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1245649557

Ispine (Primetime Rehabilitation and Performance Division) is a Pain Medicine (Physical Medicine & Rehabilitation) Physician in Carrollton, Texas. Licensed in Texas. Registered with an NPI since 2014.

Licensed in
TX
In the registry since
2014

Practice location Address checks out

2710 N Josey Ln Ste 302
Carrollton, TX 75007-5400
Phone: (832) 969-2784
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081P2900X · Licence M8869 (TX)

Record details

NPI number1245649557
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationIspine Sports Medicine and Pain Management
Authorized official Reginald Newsome — Ceo · (832) 969-2784
NPI enumeratedAugust 12, 2014
Last updated in NPPESAugust 12, 2014
Mailing address2220 Canton St Apt 211, Dallas, TX 75201-5932

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