Denton Professional Medical Group,PLLC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

OS5264 Issued in FL

Legal business name

DENTON PROFESSIONAL MEDICAL GROUP,PLLC

Practice address

3201 Colorado Blvd
Denton, TX 76210-6863

Phone

(940) 381-0885

Fax

(940) 380-0382

NPI assigned

Jun 18, 2009

Last updated

Jun 18, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Flicker, M.D.

Title

Managing Member

Phone

(940) 381-0885

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245283200000",
    "number": "1821225772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 COLORADO BLVD",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762106863",
            "telephone_number": "940-381-0885",
            "fax_number": "940-380-0382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 COLORADO BLVD",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762106863",
            "telephone_number": "940-381-0885",
            "fax_number": "940-380-0382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTON PROFESSIONAL MEDICAL GROUP,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-18",
        "last_updated": "2009-06-18",
        "status": "A",
        "authorized_official_last_name": "FLICKER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "940-381-0885",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "FL",
            "license": "OS5264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denton Optometry, Inc.
• Denton Oral and Maxillofacial Surgery Associates
• Denton Pain Management Center, LLC
• Denton Pediatric Physicians PLLC
• Denton Podiatry PLLC
• Denton Psychological Services, PLLC
• Denton Pulmonary Clinic, PA
• Denton Regional Ambulatory Surgery Center, L.P. (Medical City Surgery Center/Denton)
• Denton Rehabilitation Hospital LP (Mayhill Hospital)
• Denton Rehabilitation Hospital LP (Mayhill Hopsital)

• Pain Medicine Physician in Denton, TX
• Providers in Denton, TX by specialty
• Pain Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2009; 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.