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Organization
CHRONIC PAIN MANAGEMENT OF NORTH TEXAS, INC
Active
Organization
CHRONIC PAIN MANAGEMENT OF NORTH TEXAS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ADRIAN OLVERA MD (AUTHORIZED REPRESENTATIVE)
(409) 939-4361
Entity
Organization
Contact information
Practice address
6757 ARAPAHO RD, SUITE 711, DALLAS, TX 75248-4005
(972) 488-8926
Mailing address
255 W MICHIGAN AVE, PO BOX 1123, JACKSON, MI 49201-2218
(517) 787-6440
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
09/22/2010
Last updated
09/22/2010
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