| Craniofacial Pain Associates, Pa | |
|
2121 Martin Dr Bedford TX 76021-5993 | |
| (817) 283-0025 | |
| Not Available |
| Full Name | Craniofacial Pain Associates, Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2121 Martin Dr, Bedford, Texas |
| Authorized Official Name and Position | James Richard Polson (DIRECTOR) |
| Authorized Official Contact | 8172830025 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Craniofacial Pain Associates, Pa 2121 Martin Dr Bedford TX 76021-5993 Ph: (817) 283-0025 | Craniofacial Pain Associates, Pa 2121 Martin Dr Bedford TX 76021-5993 Ph: (817) 283-0025 |
| NPI Number | 1881986008 |
|---|---|
| Provider Enumeration Date | 05/05/2011 |
| Last Update Date | 05/05/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881986008 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 14974 (Texas) | Primary |
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