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1073962593
TEXAS PAIN PRACTICE LLC
CHEYENNE, WY
NPI
1073962593
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Entity Type
Organization
Authorized Contact
BASEM ABDELFATTAH
Owner
915-241-0997
Organization Subpart ?
No
Primary Taxonomy
284300000X Special Hospital
(Licence: TX P9994)
Enumeration Date
2016-06-06
Last Update Date
2016-06-06
Business Address
TEXAS PAIN PRACTICE LLC
1712 PIONEER AVE STE 500
CHEYENNE, WY 82001-4406
Phone number: 915-241-0997
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Mailing Address
TEXAS PAIN PRACTICE LLC
1712 PIONEER AVE STE 500
CHEYENNE, WY 82001-4406
Phone number:
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