# SHRIVE HEADACHE AND PAIN CONSULTANTS

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

## Provider details

- **NPI number:** 1164922365
- **Authorized official:** LANCE M HOOVER (ADMIN)
- **Authorized official phone:** (210) 737-4406

## Contact information

- **Practice address:** 12606 GREENVILLE AVE, DALLAS, TX 75243-1921
- **Practice address phone:** (210) 737-4406
- **Practice address fax:** (888) 770-6360
- **Mailing address:** PO BOX 797992, DALLAS, TX 75379-7992
- **Mailing address phone:** (210) 737-4406
- **Mailing address fax:** (888) 770-6360

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | K3753 | TX | Yes |

## Other

- **Enumeration date:** 02/15/2018
- **Last updated:** 02/15/2018