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1215379698
GRAPEVINE INTERVENTIONAL PAIN CENTER, LLC
GRAPEVINE, TX
NPI
1215379698
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Entity Type
Organization
Authorized Contact
TRACY WALLS
Manager
972-234-4740
Organization Subpart ?
No
Primary Taxonomy
261QP3300X Clinic/Center Pain
Enumeration Date
2013-07-25
Last Update Date
2013-08-01
Business Address
GRAPEVINE INTERVENTIONAL PAIN CENTER, LLC
1600 W NORTHWEST HWY
GRAPEVINE, TX 76051-8112
Phone number: 972-479-1115
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Mailing Address
GRAPEVINE INTERVENTIONAL PAIN CENTER, LLC
PO BOX 674006
DALLAS, TX 75267-4006
Phone number: 972-479-1115
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