Organization
SHRIVE HEADACHE AND PAIN CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANCE M HOOVER (ADMIN)
(210) 737-4406
Entity
Organization
Contact information
Practice address
12606 GREENVILLE AVE, DALLAS, TX 75243-1921
(210) 737-4406
(888) 770-6360
Mailing address
PO BOX 797992, DALLAS, TX 75379-7992
(210) 737-4406
(888) 770-6360
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
K3753
TX
Other
Enumeration date
02/15/2018
Last updated
02/15/2018
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