NPI | 1063743714 |
---|---|
Doing Business As | THE PAIN MANAGEMENT CENTER OF TEXAS |
Entity Type | Organization |
Authorized Contact | DANIEL ROBERT THEESFELD Medical Director/ CEO 903-753-7333 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: TX J3712) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX J3712) |
Enumeration Date | 2010-01-20 |
Last Update Date | 2020-09-02 |