H8pain Pain Management Center Of Texas Pllc

NPI 1063743714 - Anesthesiology - 207L00000X

NPI Details
NPI 1063743714
Enumeration Date 01/20/2010
Last Updated 06/26/2015
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name DANIEL ROBERT DANIEL
Position MEDICAL DIRECTOR/ CEO
Phone (817) 560-2454
Fax (817) 560-2450
Practice Location
711 PENNSYLVANIA AVE
FORT WORTH TX, 76104-2222, US
Phone (817) 560-2454
Fax (817) 560-2450
Business Location
3217 N 4TH ST
LONGVIEW TX, 75605-5145, US
Phone (903) 753-7333
Fax (903) 753-4849
Toxanomy
Taxonomy Code 207L00000X
License State Texas
License Number J3712
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According to our database, H8pain Pain Management Center Of Texas Pllc NPI is 1063743714, taxonomy code is 207L00000X and license number is J3712, license state is located at Texas. H8pain Pain Management Center Of Texas Pllc physically located at 711 Pennsylvania Ave, Fort Worth TX, 76104-2222. NPI Number 1033115704 has the healthcare provider type.

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1063743714 NPI number is provided on an as is basis without warranty of any kind. 1063743714 is maintained by the National Plan & Provider Enumeration System. The contents of H8pain Pain Management Center Of Texas Pllc are for informational purposes only.