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Medical Centre Pain Management Associates P A
Nurse Practitioner in Fort Worth, Texas
NPI 1902855521

Medical Centre Pain Management Associates P A is a Nurse Practitioner based in Fort Worth, TX. Medical Centre Pain Management Associates P A practices in Fort Worth, TX. The NPI Number for Medical Centre Pain Management Associates P A is 1902855521 and holds a License No. (Texas).

The current practice location address for Medical Centre Pain Management Associates P A is 1001 12Th Ave Ste 170, Fort Worth, TX and can be reached out via phone at 817-810-0500 and via fax at 817-810-0502. You can also correspond with Medical Centre Pain Management Associates P A through the mailing address at PO BOX 163973, FORT WORTH, TX - 76161-3973 (mailing address contact number: 817-810-0500).

Location: 1001 12Th Ave Ste 170, Fort Worth, TX, 76161-3973
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902855521
Provider Name
Medical Centre Pain Management Associates P A
Credential
Provider Entity Type
Organization
Address
1001 12Th Ave Ste 170, Fort Worth, TX, 76161-3973
Phone Number
817-810-0500
Fax Number
817-810-0502
Provider Enumeration Date
05/09/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0002JH 01 TX BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1001 12Th Ave Ste 170
City
Fort Worth
State
Texas
Zip
76104-3926
Phone Number
817-810-0500
Fax Number
817-810-0502
person
Provider Business Mailing Address Details
Address
Po Box 163973
City
Fort Worth
State
Texas
Zip
76161-3973
Phone Number
817-810-0500
Fax Number
817-810-0502
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Anesthesiology
Speciality
Pain Medicine
Taxonomy
207LP2900X
License No.
()
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
()
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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