Organization
CENTEX PAIN & PHYSICAL MEDICINE, LLC
Active
Organization
CENTEX PAIN & PHYSICAL MEDICINE, LLC
Active
Other names
Centex Spine and Rehab, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAWN FYKE DC (PRESIDENT)
(254) 644-3389
Entity
Organization
Contact information
Practice address
2020 N VALLEY MILLS DR, WACO, TX 76710-2561
(254) 405-4429
Mailing address
2020 N VALLEY MILLS DR, WACO, TX 76710-2561
(254) 405-4429
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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