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Virk Tmj Pllc
Pain Clinic/Center in Southlake, Texas
NPI 1255978763

Virk Tmj Pllc is a Pain Clinic/Center based in Southlake, TX and is specialized in Pain. Virk Tmj Pllc practices in Southlake, TX. The NPI Number for Virk Tmj Pllc is 1255978763 and holds a License No. (Texas).

The current practice location address for Virk Tmj Pllc is 630 N Kimball Ave Ste 110, Southlake, TX and can be reached out via phone at 817-251-9985.

Location: 630 N Kimball Ave Ste 110, Southlake, TX, 76092-6887
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255978763
Provider Name
Virk Tmj Pllc
Credential
Provider Entity Type
Organization
Address
630 N Kimball Ave Ste 110, Southlake, TX, 76092-6887
Phone Number
817-251-9985
Fax Number
Provider Enumeration Date
12/03/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
630 N Kimball Ave Ste 110
City
Southlake
State
Texas
Zip
76092-6887
Phone Number
817-251-9985
Fax Number
person
Provider Business Mailing Address Details
Address
630 N Kimball Ave Ste 110
City
Southlake
State
Texas
Zip
76092-6887
Phone Number
817-251-9985
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Orofacial Pain
Taxonomy
1223X2210X
License No.
()
Definition
A dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited postdoctoral orofacial pain residency training program for dentists of two or more years duration, in accord with the Commission on Dental Accreditation's Standards for Orofacial Pain Residency Programs, and/or meets the requirements for examination and board certification by the American Board of Orofacial Pain.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Pain
Taxonomy
261QP3300X
License No.
()
Definition
Definition to come...
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