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NPI Code Detail

MEDICARE: CEDAR HILL PAIN & REHAB, PA

MEDICARE: CEDAR HILL PAIN & REHAB, PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208100000XPhysical Medicine & Rehabilitation Physician
22081N0008XNeuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
32081S0010XSports Medicine (Physical Medicine & Rehabilitation) Physician
42081P2900XPain Medicine (Physical Medicine & Rehabilitation) Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10096PSOTHERTXBCBS

General Provider Information

NPI Number : 1922148550
Entity Type Code : Organization
Provider Name (Legal Business Name) : CEDAR HILL PAIN & REHAB, PA
Provider Business Mailing Address
First Line : PO BOX 222093
Second Line :
City : DALLAS
State : TX
Zip : 75222-2093
Country : US
Telephone Number : 972-291-9165
Fax Number : 972-291-5976
Provider Business Practice Location Address
First Line : 716 N HIGHWAY 67 STE 2
Second Line :
City : CEDAR HILL
State : TX
Zip : 75104-2117
Country : US
Telephone Number : 972-291-9165
Fax Number : 469-575-9975
Authorized Official
Title or Position : PRESIDENT
Name : BENJAMIN C. DAGLEY
Credential : DO
Telephone Number : 972-291-9165
Provider Enumeration Date : 02/06/2007
Last Update Date : 12/04/2017

Similar Medicare Providers

1902865520 — MR. BENJAMIN DAGLEY DO
Practice Location Address:
716 N HIGHWAY 67 STE 2
CEDAR HILL, TX
75104-2117
Practice Phone: 972-291-9165
Practice Fax: 469-575-9975
1033313556 — ROBERT JAMES SPICER MD
Practice Location Address:
716 N HIGHWAY 67 STE 2
CEDAR HILL, TX
75104-2117
Practice Phone: 972-291-9165
Practice Fax: 469-575-9975
1164679429 — DR. BRITTANY ROCHELLE POTTER M.D.
Practice Location Address:
716 N HIGHWAY 67 STE 2
CEDAR HILL, TX
75104-2117
Practice Phone: 972-291-9165
Practice Fax: 469-575-9975
1144519612 — MS. APRIL ANTIONETTE JACKSON APRN
Practice Location Address:
716 N HIGHWAY 67 STE 2
CEDAR HILL, TX
75104-2117
Practice Phone: 972-291-9165
Practice Fax: 469-575-9975
1457941197 — RACHEL LAUREN GERIK
Practice Location Address:
716 N HIGHWAY 67 STE 2
CEDAR HILL, TX
75104-2117
Practice Phone: 972-291-9165
Practice Fax:
1194470757 — CAROLYN RENE PETRENCIK FNP-C
Practice Location Address:
716 N HIGHWAY 67 STE 2
CEDAR HILL, TX
75104-2117
Practice Phone: 972-291-9165
Practice Fax:

Directions to “CEDAR HILL PAIN & REHAB, PA ” Practice Location

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