Organization
MIDTEX MEDICAL GROUP PLLC - MIDTEX FRISCO SERIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN DICKERSON MD (PROVIDER)
(214) 520-1006
Entity
Organization
Contact information
Practice address
5850 TOWN AND COUNTRY BLVD STE 101, FRISCO, TX 75034-6943
(214) 520-1006
Mailing address
5850 TOWN AND COUNTRY BLVD STE 101, FRISCO, TX 75034-6943
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207Q00000X
Family Medicine Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Enumeration date
03/16/2018
Last updated
03/16/2018
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