Organization
CHRONIC PAIN MANAGEMENT OF NORTH TEXAS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ADRIAN OLVERA MD (AUTHORIZED REPRESENTATIVE)
(409) 939-4361
Entity
Organization
Contact information
Practice address
6757 ARAPAHO RD, SUITE 711, DALLAS, TX 75248-4005
(972) 488-8926
Mailing address
255 W MICHIGAN AVE, PO BOX 1123, JACKSON, MI 49201-2218
(517) 787-6440
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
09/22/2010
Last updated
09/22/2010
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