Organization
INTERVENTIONAL PAIN MANAGEMENT, PA
Active
Parent organization
INTERVENTIONAL PAIN MANAGEMENT, PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTERVENTIONAL PAIN MANAGEMENT, PA
Authorized official
JAMES D DAVIS MD (MD/OWNER)
(936) 560-2222
Entity
Organization
Contact information
Practice address
3312 N UNIVERSITY DR, SUITE J, NACOGDOCHES, TX 75965-2637
(936) 560-2222
(936) 569-1788
Mailing address
3312 N UNIVERSITY DR, SUITE J, NACOGDOCHES, TX 75965-2637
(936) 560-2222
(936) 569-1788
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
J8185
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184657801
—
TX
01
—
DF4810
PALMETTO GBA
—
Enumeration date
09/19/2007
Last updated
07/21/2022
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