Organization
H8PAIN PAIN MANAGEMENT CENTER OF TEXAS PLLC
Active
Parent organization
H8PAIN PAIN MANAGEMENT CENTER OF TEXAS
Other names
THE PAIN MANAGEMENT CENTER OF TEXAS
Organization subpart
Yes
Provider details
NPI number
Legal business name
H8PAIN PAIN MANAGEMENT CENTER OF TEXAS
Authorized official
DR. DANIEL R THEESFELD M.D. (MEDICAL DIRECTOR/CEO)
(903) 753-7333
Entity
Organization
Contact information
Practice address
3217 N 4TH ST, LONGVIEW, TX 75605-5145
(903) 753-7333
(903) 753-4849
Mailing address
3217 N 4TH ST, LONGVIEW, TX 75605-5145
(903) 753-7333
(903) 753-4849
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
J3712
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J3712
TEXAS LICENSE
TX
Enumeration date
08/28/2014
Last updated
06/26/2015
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