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1174917108
ASHLAND INTERVENTIONAL PAIN CENTER LLC
BEDFORD, TX
NPI
1174917108
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Entity Type
Organization
Authorized Contact
TRACY WALLS
President
972-234-4740
Organization Subpart ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
Enumeration Date
2015-03-27
Last Update Date
2016-04-20
Business Address
ASHLAND INTERVENTIONAL PAIN CENTER LLC
1305 AIRPORT FWY SUITE 103
BEDFORD, TX 76021-6605
Phone number: 817-571-2607
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Mailing Address
ASHLAND INTERVENTIONAL PAIN CENTER LLC
PO BOX 674149
DALLAS, TX 75267-4149
Phone number: 972-479-1115
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