# MIDTEX MEDICAL GROUP PLLC - MIDTEX FRISCO SERIES

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

## Provider details

- **NPI number:** 1285137182
- **Authorized official:** KAREN DICKERSON MD (PROVIDER)
- **Authorized official phone:** (214) 520-1006

## Contact information

- **Practice address:** 5850 TOWN AND COUNTRY BLVD STE 101, FRISCO, TX 75034-6943
- **Practice address phone:** (214) 520-1006
- **Mailing address:** 5850 TOWN AND COUNTRY BLVD STE 101, FRISCO, TX 75034-6943

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |
| 208VP0000X | Pain Medicine Physician | — | NULL | — |
| 208VP0000X | Pain Medicine Physician | — | — | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | NULL | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 03/16/2018
- **Last updated:** 03/16/2018