MIDTEX MEDICAL GROUP PLLC - MIDTEX FRISCO SERIES


Address: 5850 Town and Country Blvd Ste 101, Frisco, TX 75034-6943
Phone: 2145201006

MIDTEX MEDICAL GROUP PLLC - MIDTEX FRISCO SERIES (NPI# 1285137182) 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) 1285137182
Entity Type Organization
Organization Name MIDTEX MEDICAL GROUP PLLC - MIDTEX FRISCO SERIES
Practice Address 5850 Town and Country Blvd Ste 101
Frisco
TX 75034-6943
Practice Telephone 2145201006
Enumeration Date 2018-03-16
Last Update Date 2018-03-16
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
N 208VP0000X Pain Medicine
Specialization: Pain Medicine
Allopathic & Osteopathic Physicians
Y 2081P2900X Physical Medicine & Rehabilitation
Specialization: Pain Medicine
Allopathic & Osteopathic Physicians

Office Location

Street Address 5850 TOWN AND COUNTRY BLVD STE 101
City FRISCO
State TX
Zip Code 75034-6943

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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.

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Competitor

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City FRISCO
Zip Code 75034

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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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