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

Omni Pain Clinic Inc

Organization Family Medicine Physician · NPI 1841543097

Omni Pain Clinic Inc is a Family Medicine Physician 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
Phone: (972) 642-5855
Fax: (972) 642-5853
Show map & directions

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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