SUMMIT AVENUE PAIN CENTER, LLC

FORT WORTH, TX
NPI1295045854
Entity TypeOrganization
Authorized ContactTED GROSBECK
Manager
469-362-6909
Organization Subpart ?No
Primary Taxonomy261QP3300X Clinic/Center, Pain
Enumeration Date2010-10-18
Last Update Date2010-10-18
Business Address
SUMMIT AVENUE PAIN CENTER, LLC
1201 SUMMIT AVE SUITE 400
FORT WORTH, TX 76102-4413
Phone number: 972-234-4740
Mailing Address
SUMMIT AVENUE PAIN CENTER, LLC
PO BOX 674210
DALLAS, TX 75267-4210
Phone number: 972-234-4740