| Ntss-pma Pllc | |
|
1851 Medical Center Dr Decatur TX 76234-3852 | |
| (940) 627-6201 | |
| (940) 627-6226 |
| Full Name | Ntss-pma Pllc |
|---|---|
| Speciality | Pain Medicine - Interventional Pain Medicine |
| Location | 1851 Medical Center Dr, Decatur, Texas |
| Authorized Official Name and Position | Chad Stephens (OWNER/PRESIDENT) |
| Authorized Official Contact | 9406276201 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ntss-pma Pllc 1851 Medical Center Dr Decatur TX 76234-3852 Ph: (940) 627-6201 | Ntss-pma Pllc 1851 Medical Center Dr Decatur TX 76234-3852 Ph: (940) 627-6201 |
| NPI Number | 1801146758 |
|---|---|
| Provider Enumeration Date | 09/18/2012 |
| Last Update Date | 09/18/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801146758 | NPI | - | NPPES |
| PENDING | Other | TX | BCBS |
| PENDING | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | L3143 (Texas) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | L3143 (Texas) | Primary |
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