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Organization
ACUTE AND CHRONIC PAIN MANAGEMENT CENTER PA
Active
Organization
ACUTE AND CHRONIC PAIN MANAGEMENT CENTER PA
Active
Other names
Acute & Chronic Pain and Spine Center
Organization subpart
No
Provider details
NPI number
Authorized official
SHAYDA CRADDICK (CEO/PRESIDENT)
(806) 353-6100
Entity
Organization
Contact information
Practice address
24 CARE CIR, AMARILLO, TX 79124-2118
(806) 353-6100
(806) 353-3372
Mailing address
24 CARE CIR, AMARILLO, TX 79124-2118
(806) 353-6100
(806) 353-3372
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
2080P0202X
Pediatric Cardiology Physician
—
—
2085R0203X
Therapeutic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
208600000X
Surgery Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
007835
TX
Other
Enumeration date
08/22/2006
Last updated
01/21/2025
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