# THE PAIN MANAGEMENT CENTER OF TEXAS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Daniel R Theesfeld
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306135629
- **Authorized official:** THERESA HENDERSON (OFFICE MANAGER)
- **Authorized official phone:** (903) 753-7333

## Contact information

- **Practice address:** 3000 ALEMEDA ST, FORT WORTH, TX 76116-5952
- **Practice address phone:** (817) 560-2454
- **Practice address fax:** (817) 560-2450
- **Mailing address:** 3000 ALEMEDA ST, FORT WORTH, TX 76116-5952
- **Mailing address phone:** (817) 560-2454
- **Mailing address fax:** (817) 560-2450

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | J3712 | TX | Yes |

## Other

- **Enumeration date:** 04/07/2011
- **Last updated:** 05/13/2011