# DICKERSON DALLAS PAIN ON PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Karen Delane Dickerson Sole Mbr
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447797014
- **Authorized official:** KAREN DELANE DICKERSON MD (OWNER)
- **Authorized official phone:** (972) 672-8484

## Contact information

- **Practice address:** 1675 REPUBLIC PKWY STE 201, MESQUITE, TX 75150-6902
- **Practice address phone:** (972) 672-8484
- **Mailing address:** POST OFFICE BOX 196134, DALLAS, TX 75219-8621
- **Mailing address phone:** (972) 672-8484
- **Mailing address fax:** (972) 692-8227

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/20/2017
- **Last updated:** 05/10/2021