Organization
PHYSIATRY MANAGEMENT SERVICES OF TEXAS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANA RALSTON (PARTNER)
(972) 680-1577
Entity
Organization
Contact information
Practice address
7625 GLENVIEW DR, RICHLAND HILLS, TX 76180-8331
(972) 680-1577
(972) 690-9834
Mailing address
PO BOX 835808, RICHARDSON, TX 75083-5808
(972) 680-1577
(972) 690-9834
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
07/18/2011
Last updated
09/16/2011
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