Organization
PAIN CARE OF TEXAS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETTY BRUMLEY (PRACTICE ADMINISTRATOR)
(214) 509-9691
Entity
Organization
Contact information
Practice address
1111 RAINTREE CIR STE 170, ALLEN, TX 75013-4902
(214) 509-9691
Mailing address
1111 RAINTREE CIR STE 170, ALLEN, TX 75013-4902
(214) 509-9691
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
F6754
TX
208VP0000X
Pain Medicine Physician
H0458
TX
208VP0014X
Interventional Pain Medicine Physician
Primary
L9810
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1396700571
WESLEY MERRITT M.D. NPI
TX
01
—
1831169077
DEBORAH HOLUBEC M.D. NPI
TX
01
—
1831169895
JERRY HOLUBEC D.O. NPI
TX
Enumeration date
03/05/2007
Last updated
04/18/2011
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