SOUTHLAKE INTERVENTIONAL PAIN CENTER, LLC

BEDFORD, TX
NPI1962705079
Entity TypeOrganization
Authorized ContactTED GROSBECK
Manager
469-362-6909
Organization Subpart ?No
Primary Taxonomy261QP3300X Clinic/Center, Pain
Enumeration Date2010-12-10
Last Update Date2010-12-10
Business Address
SOUTHLAKE INTERVENTIONAL PAIN CENTER, LLC
1305 AIRPORT FWY SUITE 103
BEDFORD, TX 76021-6605
Phone number: 972-234-4740
Mailing Address
SOUTHLAKE INTERVENTIONAL PAIN CENTER, LLC
PO BOX 26485
OKLAHOMA CITY, OK 73126-0485
Phone number: 972-479-1115
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