Organization
COMMUNITY PAIN RELIEF CENTERS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHNNY LEE WHITE JR. M.D. (PRESIDENT)
(877) 750-1027
Entity
Organization
Contact information
Practice address
11700 PRESTON RD, STE 660-136, DALLAS, TX 75230-6112
(877) 750-1027
(877) 750-1079
Mailing address
11700 PRESTON RD, STE 660-136, DALLAS, TX 75230-6112
(877) 750-1027
(877) 750-1079
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
G1581
TX
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
06/17/2016
Last updated
06/17/2016
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