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Premier Pain Care PA

in Denton, TX. Organization (NPI-2).

NPI number1912120841
StatusActive
Last updated in NPPESOct 6, 2011

Details

NPI
1912120841
Entity type
Organization (NPI-2)
Legal business name
Premier Pain Care PA
Organization subpart
No
Enumeration date
Apr 10, 2007
Last updated
Oct 6, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208VP0000X H2060TXYes

Practice location

2435 W Oak St
Suite 103
Denton, TX 76201-2308

Phone 940-323-9404 · Fax 940-323-9422

Mailing address

Po Box 50689
Denton, TX 76206-0689

Phone 940-323-9404 · Fax 940-323-9422

Authorized official

Carlos J Garcia
Physician
9403239404

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