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1982913448
PINE INTERVENTIONAL PROCEDURE CENTER, LLC
ADDISON, TX
NPI
1982913448
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Entity Type
Organization
Authorized Contact
TRACY WALLS
Manager
972-234-4140
Organization Subpart ?
No
Primary Taxonomy
261QP3300X Clinic/Center, Pain
Enumeration Date
2010-10-01
Last Update Date
2013-10-02
Business Address
PINE INTERVENTIONAL PROCEDURE CENTER, LLC
17051 DALLAS PKWY STE 100
ADDISON, TX 75001-7101
Phone number: 469-916-0521
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Mailing Address
PINE INTERVENTIONAL PROCEDURE CENTER, LLC
PO BOX 268989
OKLAHOMA CITY, OK 73126-8989
Phone number: 972-479-1115
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