Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dickerson Dallas Pain on PA

Organization Pain Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1134681349

Dickerson Dallas Pain on PA is a Pain Medicine (Physical Medicine & Rehabilitation) Physician in Mesquite, Texas. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1675 Republic Pkwy Ste 201
Mesquite, TX 75150-6902
Phone: (972) 850-9179
Fax: (877) 720-5614
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081P2900X
Rehabilitation Clinic/Center Taxonomy 261QR0400X

Record details

NPI number1134681349
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Janway — Coo · (972) 850-9179
NPI enumeratedApril 5, 2019
Last updated in NPPESFebruary 4, 2021
Certification dateFebruary 4, 2021
Mailing address1675 Republic Pkwy, Ste 201, Mesquite, TX 75150-6902

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