Organization
EXPRESSIONS PAIN AND REHAB, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN CHARLES DAGLEY D.O. (PRESIDENT)
(972) 291-9165
Entity
Organization
Contact information
Practice address
510 W FM 1382, CEDAR HILL, TX 75104-5322
(972) 291-9165
Mailing address
PO BOX 222093, DALLAS, TX 75222-2093
(972) 291-9165
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
L9668
TX
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
L9668
TX
Other
Enumeration date
03/01/2008
Last updated
03/01/2008
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