Midtex Medical Group PLLC - Midtex Frisco Series

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

Legal business name

MIDTEX MEDICAL GROUP PLLC - MIDTEX FRISCO SERIES

Practice address

5850 Town and Country Blvd Ste 101
Frisco, TX 75034-6943

Phone

(214) 520-1006

NPI assigned

Mar 16, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Karen Dickerson, MD

Title

Provider

Phone

(214) 520-1006

Specialties & licenses 5

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1521158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521158400000",
    "number": "1285137182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5850 TOWN AND COUNTRY BLVD STE 101",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750346943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5850 TOWN AND COUNTRY BLVD STE 101",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750346943",
            "telephone_number": "214-520-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDTEX MEDICAL GROUP PLLC - MIDTEX FRISCO SERIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-16",
        "last_updated": "2018-03-16",
        "status": "A",
        "authorized_official_last_name": "DICKERSON",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "214-520-1006",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Wayne Michelsen, D.O.
• Terrin Jordan Micheluzzi
• Jaime Michise, M.S., CCC-SLP
• Bianca Angelina Mickan, LPC
• Mickey D Morgan MD PA
• Midtown Medical Imaging - Frisco, LLC
• Mila Davis DDS, PC
• Mila Davis, DDS, PC
• Annamarie Milburn, O.D.
• Brittany Joyce Miles Jacquote, LMFT, LCDC

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Frisco, TX
• Providers in Frisco, TX by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.