Organization
SUMMIT SPECIALISTS OF PAIN, PLLC
Active
Other names
Summit Specialists of Pain
Organization subpart
No
Provider details
NPI number
Authorized official
STANLEY W WHISENANT MD (MD/CEO)
(945) 766-4467
Entity
Organization
Contact information
Practice address
4000 WESLEY ST STE D, GREENVILLE, TX 75401-9015
(945) 766-4467
(972) 777-9939
Mailing address
2931 RIDGE RD STE 101-159, ROCKWALL, TX 75032-6670
(972) 741-5953
(972) 777-9939
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
J7725
TX
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
J7725
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
075PS
BCBS/TX
TX
01
—
395576
WELLCARE
TX
Enumeration date
05/31/2007
Last updated
09/03/2024
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