Provider Demographics
NPI:1639823297
Name:PAIN DIAGNOSTICS AND TREATMENT CENTER P A
Entity Type:Organization
Organization Name:PAIN DIAGNOSTICS AND TREATMENT CENTER P A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:NICK
Authorized Official - Last Name:ZOYS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-566-8999
Mailing Address - Street 1:7777 FOREST LN STE C502
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-6843
Mailing Address - Country:US
Mailing Address - Phone:972-566-8999
Mailing Address - Fax:
Practice Address - Street 1:2241 PEGGY LN STE A
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75042-5765
Practice Address - Country:US
Practice Address - Phone:972-566-8999
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-11
Last Update Date:2022-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Multi-Specialty
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Multi-Specialty