# PHYSIATRY MANAGEMENT SERVICES OF TEXAS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902194566
- **Authorized official:** LANA RALSTON (PARTNER)
- **Authorized official phone:** (972) 680-1577

## Contact information

- **Practice address:** 7625 GLENVIEW DR, RICHLAND HILLS, TX 76180-8331
- **Practice address phone:** (972) 680-1577
- **Practice address fax:** (972) 690-9834
- **Mailing address:** PO BOX 835808, RICHARDSON, TX 75083-5808
- **Mailing address phone:** (972) 680-1577
- **Mailing address fax:** (972) 690-9834

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 208VP0000X | Pain Medicine Physician | — | NULL | — |
| 208VP0000X | Pain Medicine Physician | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 07/18/2011
- **Last updated:** 09/16/2011