INTERVENTIONAL PAIN MANAGEMENT, PA
Osteopathic Medicine at University Dr, Nacogdoches, TX

License number
Texas J8185
Category
Osteopathic Medicine
Type
Pain Medicine
Owner
Name: JAMES D DAVIS MD
Title: MD/OWNER
Phone: (936) 560-2222
Address
Address
3312 N University Dr SUITE J, Nacogdoches, TX 75965
National Provider ID: 1114113669
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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INTERVENTIONAL PAIN MANAGEMENT, PA

Nacogdoches, TX  -  Tomball, TX

Status:
Inactive
Registration:
Aug 1, 2000
Addresses:
3312 N University Dr STE J, Nacogdoches, TX 75965 (Mailing)
29510 Liberty Ln, Tomball, TX 77375
State ID:
0082164303
Business type:
Professional Association
President , Treasurer , Director , Member , Secretary , Vice-President:
James D. Davis President , Treasurer , Director , Member , Secretary , Vice-President, inactive
TIN:
32035991234

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