Organization
THE PAIN MANAGEMENT CENTER OF TEXAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL R THEESFELD MD (OWNER)
(817) 560-2454
Entity
Organization
Contact information
Practice address
3000 ALEMEDA ST, FORT WORTH, TX 76116-5952
(817) 560-2454
(817) 560-2450
Mailing address
3000 ALEMEDA ST, FORT WORTH, TX 76116-5952
(817) 560-2454
(817) 560-2450
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
J3712
TX
Other
Enumeration date
08/19/2008
Last updated
08/19/2008
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