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Contact Information

DICKERSON DALLAS PAIN ON PA
1675 REPUBLIC PKWY STE 201
MESQUITE, TX75150-6902
 Phone: 972-850-9179
 Fax: 877-720-5614
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
 

Rehabilitation

261QR0400X B4[14] Rehabilitation Agency
Indicates primary specialty

NPI Profile & details for DICKERSON DALLAS PAIN ON PA · (Female)

NPI # 1134681349
Status Active
Credentials
Entity Individual
Enumeration date 04/05/2019
Last updated 02/04/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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