Jerry Michael Stanton in Bedford - Interventional Pain Medicine

Jerry Michael Stanton - NPI 1679593891

Jerry Michael Stanton is a Interventional Pain Medicine in Bedford, Texas. Jerry Michael Stanton practices all healthcare services and medical treatments related to Interventional Pain Medicine. The NPI Number for Jerry Michael Stanton is 1679593891. The last update date is 2013-03-07.

Jerry Michael Stanton's current location address is 1600 Central Dr, Bedford, Texas. You can contact this provider via phone number 8172680104 and fax number 8172686102. The mailing address for Jerry Michael Stanton is 1600 Central Dr, Bedford, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Jerry Michael Stanton
Address 1600 Central Dr, Bedford, Texas
Phone Number 8172680104
Fax Number 8172686102
Sole Proprietor N
Credentials D.O.

NPI Number Detail

NPI Number 1679593891
Provider Enumeration Date 2006-07-20
Last Updated Date 2013-03-07

Provider Mailing Address Detail

Address 1600 Central Dr
City Bedford
State Texas (TX)
Post Code 760226000
Phone Number 8172680104
Fax Number 8172686102

Provider's Primary Taxonomy Detail

Speciality Interventional Pain Medicine
Taxonomy 208Vp0014X
Licence No G1555
Definition:
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable p

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
50033686 GA RAILROAD MEDICARE
86W010 TX BLUE CROSS BLUE SHIELD TX
180403400 TX DEPT OF LABOR LONDON KY
116585401 TX --
528901 TX FIRST HEALTH
DOG1555 TX TEXAS WORK COMP
4389652 TX AETNA PPO
10028066 TX AMERIGROUP
6895499 MD EEOICP
2028260 TX AETNA HMO

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FAQs about Jerry Michael Stanton

What is the unique provider identifier assigned to Jerry Michael Stanton?

The Jerry Michael Stanton has been issued the NPI (National Provider Identifier) 1679593891 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Jerry Michael Stanton's facilities are situated?

The facilities of Jerry Michael Stanton are physically located at the following address: 1600 Central Dr, Bedford, TX, 760226000.

What is the area of specialization for Jerry Michael Stanton, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jerry Michael Stanton is Interventional Pain Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 208Vp0014X.

On what date did the Centers for Medicare & Medicaid Services issue the 1679593891 to Jerry Michael Stanton?

The Jerry Michael Stanton received its 1679593891 assignment from the Centers for Medicare & Medicaid Services on 2006-07-20.

When was the information related to Jerry Michael Stanton most recently updated or refreshed?

The details pertaining to the Jerry Michael Stanton, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-03-07.

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