1528519410 NPI number — PAIN MANAGEMENT PHYSICIANS OF DALLAS, PLLC.

Table of content: (NPI 1528519410)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1528519410 NPI number — PAIN MANAGEMENT PHYSICIANS OF DALLAS, PLLC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PAIN MANAGEMENT PHYSICIANS OF DALLAS, PLLC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
DALLAS PAIN CONSULTANTS
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1528519410
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/29/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1411 N BECKLEY AVE
Provider Second Line Business Mailing Address:
SUITE# 152
Provider Business Mailing Address City Name:
DALLAS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75203-1259
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
214-948-7700
Provider Business Mailing Address Fax Number:
214-948-7701

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3430 W WHEATLAND RD STE 107
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DALLAS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75237-3447
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
214-948-7700
Provider Business Practice Location Address Fax Number:
214-948-7701
Provider Enumeration Date:
10/17/2016

Additional Information

Authorized Official

Authorized Official Last Name:
KRAUS
Authorized Official First Name:
TREVOR
Authorized Official Middle Name:
T
Authorized Official Title or Position:
OWNER/PARTNER
Authorized Official Telephone Number:
214-948-7700

Provider Taxonomy Codes

  • Taxonomy code: 208VP0014X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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