Organization
TEXAS INTERVENTIONAL PAIN MANAGEMENT, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MERIWETHER LEWIS FRAZIER MD (OWNER)
(469) 476-6593
Entity
Organization
Contact information
Practice address
8080 INDEPENDENCE PKWY STE 110, PLANO, TX 75025-4004
(972) 596-1059
(972) 612-5410
Mailing address
PO BOX 251707, PLANO, TX 75025-1707
(972) 596-1059
(972) 612-5410
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123456
UNKNOWN
—
Enumeration date
02/04/2021
Last updated
11/19/2024
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