Organization
PARK CENTRAL PAIN MEDICINE ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL D ANDERSON DC (OWNER)
(972) 239-7246
Entity
Organization
Contact information
Practice address
3821 ROSS AVE, DALLAS, TX 75204-5245
(214) 515-9300
(214) 515-9302
Mailing address
3821 ROSS AVE, DALLAS, TX 75204-5245
(214) 515-9300
(214) 515-9302
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
8788
TX
Other
Enumeration date
08/08/2008
Last updated
01/27/2011
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