MANCHESTER INTERVENTIONAL PAIN CENTER LLC

BEDFORD, TX
NPI1801273800
Entity TypeOrganization
Authorized ContactTRACY WALLS
President
972-788-7500
Organization Subpart ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
Enumeration Date2015-04-29
Last Update Date2016-04-20
Business Address
MANCHESTER INTERVENTIONAL PAIN CENTER LLC
1305 AIRPORT FWY SUITE 103
BEDFORD, TX 76021-6605
Phone number: 817-571-2607
Mailing Address
MANCHESTER INTERVENTIONAL PAIN CENTER LLC
PO BOX 674032
DALLAS, TX 75267-4032
Phone number: 972-479-1115