DICKERSON DALLAS PAIN ON PA (NPI# 1447797014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447797014 |
| Entity Type | Organization |
| Organization Name | DICKERSON DALLAS PAIN ON PA |
| Other Organization Name | KAREN DELANE DICKERSON SOLE MBR |
| Practice Address |
4311 Andrews Hwy Midland TX 79703 |
| Mailing Address |
4311 Andrews Hwy Midland TX 79703-4823 |
| Practice Telephone | 9726728484 |
| Mailing Telephone | 9726728484 |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2018-12-05 |
| Authorized Official Name | KAREN DICKERSON (OWNER) |
| Authorized Official Telephone | 2148871626 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Karen Delane Dickerson Sole Mbr | Other Name - Individual/Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2507 Medical Row, Suite 103, Grand Prairie, TX 750511070 | 2148871626 | 2145948797 |
| Street Address |
4311 ANDREWS HWY |
| City | MIDLAND |
| State | TX |
| Zip Code | 79703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169993 | Kelsey Teague | Physical Therapy Assistant | 4311 Andrews Hwy, Midland, TX 79703-4823 | 2020-09-21 |
| 1982210407 | Pete Joel Sandoval | Physical Therapy Assistant | 4311 Andrews Hwy, Midland, TX 79703-4823 | 2020-09-21 |
| 1821604349 | Travis Spring | Physical Therapy Assistant | 4311 Andrews Hwy, Midland, TX 79703-4823 | 2020-09-21 |
| 1184230609 | Joshue Espinoza | Physical Therapy Assistant | 4311 Andrews Hwy, Midland, TX 79703-4823 | 2020-09-21 |
| 1629684147 | Angelo Carlo Guinto | Physical Therapist | 4311 Andrews Hwy, Midland, TX 79703-4823 | 2020-09-21 |
| 1932715455 | Mateo Vuelvas | Physical Therapy Assistant | 4311 Andrews Hwy, Midland, TX 79703-4823 | 2020-09-21 |
| 1831729193 | Victoria Michelle Martinez | Registered Nurse | 4311 Andrews Hwy, Midland, TX 79703-4823 | 2020-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124637160 | Rachel Murphy | Dietitian, Registered | 4214 Andrews Highway, Suite 107, Midland, TX 79703 | 2020-07-27 |
| 1740819994 | Hunter Occupational Solution | Clinic/Center | 4311 Andrews Hwy., Midland, TX 79703 | 2020-04-08 |
| 1467920413 | Megan Boxberger | Physical Therapy Assistant | 2501 W Illinois, Midland, TX 79703 | 2018-11-07 |
| 1982186219 | Veronica Yero | Occupational Therapy Assistant | 800 Beal Pkwy, Midland, TX 79703 | 2018-09-04 |
| 1801304480 | Alyssa Wennerlind | Counselor | 3701 Andrews Hwy., Midland, TX 79703 | 2018-01-17 |
| 1790236198 | Foursquare Texas 16, LLC | Skilled Nursing Facility | 801 South Loop 250 West, Midland, TX 79703 | 2016-10-20 |
| 1578974754 | West Texas Endocrinology & Diabetes Pa | Internal Medicine | 3305 Andrews Hwy Ste B1, Midland, TX 79703 | 2014-05-09 |
| 1295969699 | Ramakrishna Thokala | Internal Medicine | 3302 W Golf Course Rd Ste 100, Midland, TX 79703 | 2009-05-13 |
| 1699959569 | City of Midland | Public Health or Welfare | 3303 W Illinois, Sp 22, Midland, TX 79703 | 2007-12-27 |
| 1609973502 | Dale L Mansfield | Chiropractor | 4107 W Illinois, Midland, TX 79703 | 2006-09-20 |
| Find all providers in zip 79703 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275944886 | Suzanne Marie Barbu | Specialist | 3609 E Monroe Rd, Midland, MI 48642-8835 | 2014-05-16 |
| 1760635874 | Douglas S. Park M.d. Pa | Specialist | 705 W. Wadley, Midland, TX 79705-5373 | 2008-11-03 |
| 1356559041 | Midmichigan Cardiology | Specialist | 111 E Wackerly St, Suite D, Midland, MI 48642-7001 | 2007-05-18 |
| 1417172933 | Harshad G Shah Md Pa Eye Institute | Specialist | 4214 Andrews Hwy Ste 105, Midland, TX 79703-4813 | 2007-04-17 |
| 1669507349 | John R. Howlett Jr. | Specialist | 1002 W Wall St, Midland, TX 79701-6638 | 2007-02-22 |
| 1508936840 | Thomas Charles Turner | Specialist | 805 W Wadley Ave, Midland, TX 79705-6557 | 2006-11-08 |
| 1326145541 | Vikram N Patel, Md Pa | Specialist | 2407 W Louisiana Ave Ste 104, Midland, TX 79701-5826 | 2006-09-20 |
| 1831294446 | Wilbur George Lineback Jr. | Specialist | 2104 W Michigan Ave, Midland, TX 79701-5928 | 2006-09-14 |
| 1699882639 | Lori D. Adcock | Specialist | 303 Veterans Airpark Ln, Suite 4109, Midland, TX 79705-0000 | 2006-08-24 |
| 1205949179 | Anjana Rastogi Mdpa | Specialist | 316 Secor St, Midland, TX 79701-6343 | 2006-08-16 |
| Find all providers in MIDLAND | ||||
Please comment or provide details below to improve the information on DICKERSON DALLAS PAIN ON PA.
| 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.