Organization
THE PAIN REHABILITATION GROUP OF WICHITA FALLS P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK A WORKMAN M.D. (PRESIDENT)
(940) 696-8500
Entity
Organization
Contact information
Practice address
4301 MAPLEWOOD AVE, STE A, WICHITA FALLS, TX 76308
(940) 696-8500
(940) 696-8546
Mailing address
4301 MAPLEWOOD AVE, STE A, WICHITA FALLS, TX 76308-3879
(940) 696-8500
(940) 696-8546
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079982701
—
TX
Enumeration date
07/15/2006
Last updated
05/29/2018
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