Organization
DICKERSON DALLAS PAIN ON PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA ASHBURN (CLINIC ADMINISTRATOR)
(972) 850-9179
Entity
Organization
Contact information
Practice address
1675 REPUBLIC PKWY STE 201, MESQUITE, TX 75150-6902
(972) 850-9179
(877) 720-5614
Mailing address
1675 REPUBLIC PKWY STE 201, MESQUITE, TX 75150-6902
(972) 850-9179
(877) 720-5614
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/04/2021
Last updated
02/04/2021
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