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Organization
MIDTEX MEDICAL GROUP PLLC- DALLAS SERIES
Active
Organization
MIDTEX MEDICAL GROUP PLLC- DALLAS SERIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN DICKERSON MD (PROVIDER)
(214) 520-1006
Entity
Organization
Contact information
Practice address
4228 N CENTRAL EXPY STE 104, DALLAS, TX 75206-6558
(214) 520-1006
(214) 824-5792
Mailing address
4228 N CENTRAL EXPY STE 104, DALLAS, TX 75206-6558
(214) 520-1006
(214) 824-5792
Taxonomy
Speciality
Code
Description
License number
State
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
Primary
—
NULL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
—
NULL
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Enumeration date
03/14/2018
Last updated
02/27/2020
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