Lake Arlington Center For Pain Management

NPI 1023234887 - Clinic/Center - 261QR0401X

NPI Details
NPI 1023234887
Enumeration Date 04/18/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KENNETH N KENNETH
Position CLINICAL DIRECTOR
Phone (817) 478-0095
Fax (817) 478-7628
Practice Location
6702 W POLY WEBB RD
ARLINGTON TX, 76016-3615, US
Phone (817) 478-0095
Fax (817) 478-7628
Business Location
6702 W POLY WEBB RD
ARLINGTON TX, 76016-3615, US
Phone (817) 478-0095
Fax (817) 478-7628
Toxanomy
Taxonomy Code 261QR0401X
License State
License Number
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According to our database, Lake Arlington Center For Pain Management NPI is 1023234887, taxonomy code is 261QR0401X Lake Arlington Center For Pain Management physically located at 6702 W Poly Webb Rd, Arlington TX, 76016-3615. NPI Number 1033115704 has the healthcare provider type.

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1023234887 NPI number is provided on an as is basis without warranty of any kind. 1023234887 is maintained by the National Plan & Provider Enumeration System. The contents of Lake Arlington Center For Pain Management are for informational purposes only.