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Contact Information

DICKERSON DALLAS PAIN ON PA
1675 REPUBLIC PKWY STE 201
MESQUITE, TX75150-6902
 Phone: 972-672-8484
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for DICKERSON DALLAS PAIN ON PA

NPI # 1447797014
LBN Legal business name DICKERSON DALLAS PAIN ON PA
Authorized official KAREN DICKERSON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/20/2017
Last updated 05/10/2021 - About 5 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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