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Organization
MEDICAL BIOFEEDBACK & PAIN CONTROL CENTER
Active
Organization
MEDICAL BIOFEEDBACK & PAIN CONTROL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANIS WILBERT (OFFICE MANAGER)
(214) 369-8717
Entity
Organization
Contact information
Practice address
7515 GREENVILLE AVE STE 1005, DALLAS, TX 75231-3805
(214) 369-8717
(214) 369-7937
Mailing address
7515 GREENVILLE AVE STE 1005, DALLAS, TX 75231-3805
(214) 369-8717
(214) 369-7937
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
7536
TX
207Q00000X
Family Medicine Physician
H7354
TX
207Q00000X
Family Medicine Physician
MD M0311
TX
207R00000X
Internal Medicine Physician
Primary
H0800
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8K0231
BCBS PROVIDER ID
TX
Enumeration date
08/16/2006
Last updated
08/14/2008
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