# PARK CENTRAL PAIN MEDICINE ASSOCIATES, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013163179
- **Authorized official:** DR. MICHAEL D ANDERSON DC (OWNER)
- **Authorized official phone:** (972) 239-7246

## Contact information

- **Practice address:** 3821 ROSS AVE, DALLAS, TX 75204-5245
- **Practice address phone:** (214) 515-9300
- **Practice address fax:** (214) 515-9302
- **Mailing address:** 3821 ROSS AVE, DALLAS, TX 75204-5245
- **Mailing address phone:** (214) 515-9300
- **Mailing address fax:** (214) 515-9302

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0014X | Interventional Pain Medicine Physician | — | NULL | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 8788 | TX | Yes |

## Other

- **Enumeration date:** 08/08/2008
- **Last updated:** 01/27/2011