Allied Pain Management Clinic, P.A.
Chiropractor, Orthopedic in Tyler, TX. Organization (NPI-2).
NPI number1669420345
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1669420345
- Entity type
- Organization (NPI-2)
- Legal business name
- Allied Pain Management Clinic, P.A.
- Organization subpart
- No
- Enumeration date
- May 4, 2006
- Last updated
- Sep 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111NX0800X | Chiropractor, Orthopedic | DC5099 | TX | Yes |
| 208VP0000X | H4166 | TX | ||
| 1041C0700X | Social Worker, Clinical | 30239 | TX |
Practice location
5201 S Broadway AveSte 200
Tyler, TX 75703-3748
Phone 903-595-6078 · Fax 903-509-2545
Mailing address
Po Box 131567Tyler, TX 75713-1567
Phone 903-595-6078 · Fax 903-509-2545
Authorized official
Amy Jo Blanton
Provider Relations
9035956078
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