Organization Active NPI

Midtex Medical Group PLLC- Dallas Series

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Dallas, TX
National Provider Identifier
1750884847
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
MIDTEX MEDICAL GROUP PLLC- DALLAS SERIES
Practice address
4228 N Central Expy Ste 104
Dallas, TX 75206-6558
Phone
(214) 520-1006
Fax
(214) 824-5792
NPI assigned
Mar 14, 2018
Last updated
Feb 27, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X NU
Family Medicine Physician 207Q00000X NU
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X NU Primary
Interventional Pain Medicine Physician 208VP0014X NU

Addresses

Primary practice location

4228 N Central Expy Ste 104
Dallas, TX 75206-6558

Mailing address

4228 N Central Expy Ste 104
Dallas, TX 75206-6558
Phone (214) 520-1006

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582761600000",
    "number": "1750884847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4228 N CENTRAL EXPY STE 104",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752066558",
            "telephone_number": "214-520-1006",
            "fax_number": "214-824-5792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4228 N CENTRAL EXPY STE 104",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752066558",
            "telephone_number": "214-520-1006",
            "fax_number": "214-824-5792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDTEX MEDICAL GROUP PLLC- DALLAS SERIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-14",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "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": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; 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.