Dickerson Dallas Pain On Pa

LBN: Dickerson Dallas Pain On Pa
Dickerson Dallas Pain On Pa is an health care organization with primary practice located at 1675 Republic Pkwy Ste 201 , Mesquite TX 75150-6902. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Ambulatory Health Care Facilities / Rehabilitation. Allopathic & Osteopathic Physicians / Pain Medicine is the primary health care specialty. Dickerson Dallas Pain On Pa can be contacted via phone (972) 850-9179, or through Janway, David via phone (972) 850-9179.

Contact Information

Primary practice address
1675 Republic Pkwy Ste 201 Mesquite TX 75150-6902
Phone: (972) 850-9179
Fax: (877) 720-5614
Website:
Map and Directions
Authorized official contact:
Name: Janway, David Licensed Professional Counselor (LPC)
Phone: (972) 850-9179

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X

Profile Details

NPI number 1134681349
LBN Legal business name Dickerson Dallas Pain On Pa
DBA Doing business as
Authorized official Janway, David Licensed Professional Counselor (LPC)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 5th, 2019
Last updated Feb 4th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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