# PHYSICIANS MANAGEMENT SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** INJURY 1 TREATMENT CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386780336
- **Authorized official:** NAT MANGUM (CEO)
- **Authorized official phone:** (469) 688-6628

## Contact information

- **Practice address:** 185 EASTGATE PLZ, WACO, TX 76705-2868
- **Practice address phone:** (254) 412-2667
- **Practice address fax:** (254) 798-5766
- **Mailing address:** 5931 DESCO DR, DALLAS, TX 75225-1604
- **Mailing address phone:** (214) 563-5122
- **Mailing address fax:** (214) 361-1235

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | 15980 | TX | — |
| 101YP2500X | Professional Counselor | 17173 | TX | — |
| 101YP2500X | Professional Counselor | 20025 | TX | — |
| 103T00000X | Psychologist | 21357 | TX | — |
| 208D00000X | General Practice Physician | J1957 | TX | Yes |
| 225100000X | Physical Therapist | 1014587 | TX | — |
| 225100000X | Physical Therapist | 1030278 | TX | — |

## Other

- **Enumeration date:** 01/29/2007
- **Last updated:** 04/22/2009