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1245624113
RIVERSIDE INTERVENTIONAL PAIN CENTER LLC
RICHARDSON, TX
NPI
1245624113
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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
RIVERSIDE INTERVENTIONAL PAIN CENTER LLC
1778 N PLANO RD SUITE 300B
RICHARDSON, TX 75081-1968
Phone number: 972-231-9770
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Mailing Address
RIVERSIDE INTERVENTIONAL PAIN CENTER LLC
PO BOX 674102
DALLAS, TX 75267-4102
Phone number: 972-479-1115
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