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PARK CENTRAL PAIN MEDICINE ASSOCIATES PA NPI 1013163179


NPI Information

NPI: 1013163179
Provider Name: PARK CENTRAL PAIN MEDICINE ASSOCIATES, PA
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
3821 ROSS AVE
DALLAS, TX
ZIP 75204
Phone: (214) 515-9300
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PARK CENTRAL PAIN MEDICINE ASSOCIATES, PA is a durable medical equipment medical supplies in Dallas, TX. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. PARK CENTRAL PAIN MEDICINE ASSOCIATES, PA NPI is 1013163179. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3821 ROSS AVE
DALLAS, TX
ZIP 75204-245
Phone: (214) 515-9300
Fax: (214) 515-9302

The provider's authorized official is Michael D Anderson .
The authorized official title is Owner and has the following contact phone number (972) 239-7246.

The enumeration date for this NPI number is 8/8/2008 and was last updated on 1/27/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208VP0014XPain MedicineInterventional Pain MedicineNo
2332B00000XDurable Medical Equipment & Medical Supplies8788TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16255830001MEDICARE NSCTEXAS
20A0349MEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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