MIDTEX MEDICAL GROUP PLLC- DALLAS SERIES


Address: 4228 N Central Expy Ste 104, Dallas, TX 75206-6558
Phone: 2145201006

MIDTEX MEDICAL GROUP PLLC- DALLAS SERIES (NPI# 1750884847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750884847
Entity Type Organization
Organization Name MIDTEX MEDICAL GROUP PLLC- DALLAS SERIES
Practice Address 4228 N Central Expy Ste 104
Dallas
TX 75206-6558
Practice Telephone 2145201006
Practice Fax Number 2148245792
Mailing Telephone 2145201006
Mailing Fax Number 2148245792
Enumeration Date 2018-03-14
Last Update Date 2020-02-27
Authorized Official Name KAREN DICKERSON (PROVIDER)
Authorized Official Telephone 2145201006
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207LP2900X Anesthesiology
Specialization: Pain Medicine
Allopathic & Osteopathic Physicians
N 207Q00000X Family Medicine Allopathic & Osteopathic Physicians
N 208VP0014X Pain Medicine
Specialization: Interventional Pain Medicine
Allopathic & Osteopathic Physicians
Y 2081P2900X Physical Medicine & Rehabilitation
Specialization: Pain Medicine
Allopathic & Osteopathic Physicians

Office Location

Street Address 4228 N CENTRAL EXPY STE 104
City DALLAS
State TX
Zip Code 75206-6558

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386112290 Uptown Medical Group Pllc Family Medicine 4228 N Central Expy Ste 104, Dallas, TX 75206-6558 2018-11-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1003398074 Aaron Hands Psychologist 5646 Milton St Ste 740, Dallas, TX 75206 2018-09-05
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1851890636 Old Town Endoscopy Center LLC Nurse Anesthetist, Certified Registered 5500 Greenville Avenue Suite 1100, Dallas, TX 75206 2018-02-07
1851830434 Amanda Rash Physical Therapy Assistant 5855 Milton Road, Dallas, TX 75206 2017-02-16
1649727272 Insights Psychotherapy Group, Pllc Counselor 5255 Vickery Boulevard, Dallas, TX 75206 2016-09-01
1215389655 Revolution Monitoring Management, LLC Psychiatry & Neurology 4925 Greenville Ave #200, Dallas, TX 75206 2016-07-11
1225413776 Chelsea Young Speech-Language Pathologist 8820 Southwestern Blvd #605, Dallas, TX 75206 2015-07-27
1861802332 Shane Ahlers Internal Medicine 6037 Marquita Ave, Dallas, TX 75206 2014-05-05
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Taxonomy Information

Taxonomy Code 2081P2900X
Grouping Allopathic & Osteopathic Physicians
Classification Physical Medicine & Rehabilitation
Specialization Pain Medicine

Taxonomy Definition

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093314700 Texas P&a LLC Physical Medicine & Rehabilitation 400 S Zang Blvd Ste 1210, Dallas, TX 75208-6624 2020-10-23
1720441538 Omni Spine Pain Management, Pllc Physical Medicine & Rehabilitation 6243 Retail Rd Ste 500, Dallas, TX 75231-7867 2016-03-30
1306227640 Yu M. Chiu Physical Medicine & Rehabilitation Pending Practice Location, Dallas, TX 75201 2015-06-12
1083929087 Ricardo Aaron Miranda Physical Medicine & Rehabilitation 12222 N Central Expy # 150, Dallas, TX 75243-3755 2010-08-13
1396906673 Nara Prapan Pravat Physical Medicine & Rehabilitation 15136 Majorca St, Dallas, TX 75248-6423 2008-06-19
1780637298 Cpr and R LLC Physical Medicine & Rehabilitation 17742 Preston Rd, Dallas, TX 75252-6199 2006-05-18
1992770002 Steven Lane Casey Physical Medicine & Rehabilitation 3131 Turtle Creek Blvd, Suite #1101, Dallas, TX 75219-5405 2006-02-22
1699243584 Carefirst Medical Group Physical Medicine & Rehabilitation 9353 Elam Rd, Dallas, TX 75217-4181 2018-11-08
1821573650 Integrative Pain Management Center Pllc Physical Medicine & Rehabilitation 7920 Belt Line Rd Ste 120, Dallas, TX 75254-8148 2018-09-27
1649701681 Arthritis and Chronic Pain Relief Institute Pllc Physical Medicine & Rehabilitation 17330 Preston Rd, Suite 200 D, Dallas, TX 75252-5997 2017-03-22
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City DALLAS
Zip Code 75206

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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