Organization
ALLIED PAIN MANAGEMENT CLINIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY JO BLANTON (PROVIDER RELATIONS)
(903) 595-6078
Entity
Organization
Contact information
Practice address
5201 S BROADWAY AVE, STE 200, TYLER, TX 75703-3748
(903) 595-6078
(903) 509-2545
Mailing address
PO BOX 131567, TYLER, TX 75713-1567
(903) 595-6078
(903) 509-2545
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
30239
TX
111NX0800X
Orthopedic Chiropractor
Primary
DC5099
TX
208VP0000X
Pain Medicine Physician
H4166
TX
Other
Enumeration date
05/04/2006
Last updated
09/11/2025
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