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Organization

PAIN MANAGEMENT PHYSICIANS OF DALLAS PLLC

Active
Other names
Dallas Pain Consultants
Organization subpart
No

Provider details

NPI number
Authorized official
KERRY SHEEHAN (PRACTICE ADMINISTRATOR)
(214) 948-7700
Entity
Organization

Contact information

Practice address
8404 STERLING ST STE B, IRVING, TX 75063-2527
(214) 948-7700
(214) 948-7701
Mailing address
1411 N BECKLEY AVE STE 152, DALLAS, TX 75203-1586
(214) 948-7700
(214) 948-7701

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
45D2016038
CLIA WAIVED
01
45D2145472
CLIA
Enumeration date
04/29/2020
Last updated
11/06/2024
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