Organization
PAIN CARE OF NORTH TEXAS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA MELELEU (ADMINISTRATOR)
(214) 817-4225
Entity
Organization
Contact information
Practice address
1111 RAINTREE CIR, SUITE 190, ALLEN, TX 75013-4901
(214) 509-9530
(214) 509-0240
Mailing address
1111 RAINTREE CIRCLE, STE 190, ALLEN, TX 75013-4901
(214) 509-9530
(214) 509-0240
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
008093
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008093
TX DEPT OF HEALTH
TX
Enumeration date
10/18/2005
Last updated
10/17/2024
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