Healthcare Provider Details
I. General information
NPI: 1407907546
Provider Name (Legal Business Name): ACCIDENT & INJURY PAIN CENTERS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/16/2007
Last Update Date: 09/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8102 SPRING VALLEY RD
DALLAS TX
75240-7508
US
IV. Provider business mailing address
200 WYNNEWOOD VILLAGE
DALLAS TX
75224
US
V. Phone/Fax
- Phone: 972-247-7246
- Fax: 972-247-8200
- Phone: 214-378-4499
- Fax: 214-948-6576
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
THOMAS
RHUDY
Title or Position: CHIEF OF STAFF
Credential: DC
Phone: 214-378-4499