# INTERVENTIONAL PAIN MANAGEMENT, PA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** INTERVENTIONAL PAIN MANAGEMENT, PA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1114113669
- **Legal business name:** INTERVENTIONAL PAIN MANAGEMENT, PA
- **Authorized official:** JAMES D DAVIS MD (MD/OWNER)
- **Authorized official phone:** (936) 560-2222

## Contact information

- **Practice address:** 3312 N UNIVERSITY DR, SUITE J, NACOGDOCHES, TX 75965-2637
- **Practice address phone:** (936) 560-2222
- **Practice address fax:** (936) 569-1788
- **Mailing address:** 3312 N UNIVERSITY DR, SUITE J, NACOGDOCHES, TX 75965-2637
- **Mailing address phone:** (936) 560-2222
- **Mailing address fax:** (936) 569-1788

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | J8185 | TX | Yes |

## Other

- **Enumeration date:** 09/19/2007
- **Last updated:** 07/21/2022