National Provider Identifier Database

DICKERSON DALLAS PAIN ON PA
Pain Medicine

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.


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
* Pain Medicine 2081P2900X
Rehabilitation 261QR0400X

* Indicates primary specialty

NPI Profile & details for DICKERSON DALLAS PAIN ON PA

NPI Number 1134681349
Legal business name
LBN
DICKERSON DALLAS PAIN ON PA
Authorized official DAVID JANWAY - (COO)
Entity Organization
Organization subpart No
Enumeration date 04/05/2019
Last updated 02/04/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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