Organization
PRESTON INSTITUTE OF PAIN MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES EDWARD WILLIS M.D. (GEN PARTNER)
(972) 991-9950
Entity
Organization
Contact information
Practice address
12800 PRESTON RD STE 200, DALLAS, TX 75230-1369
(972) 991-9950
(972) 991-4026
Mailing address
12800 PRESTON RD STE 200, DALLAS, TX 75230-1369
(972) 991-9950
(972) 991-4026
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
12/14/2010
Last updated
12/14/2010
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