Willowbend Interventional Pain Center, Llc

NPI 1093038507 - Clinic/Center - 261QP3300X

NPI Details
NPI 1093038507
Enumeration Date 03/11/2010
Last Updated 10/02/2013
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name TRACY TRACY
Position MANAGER
Phone (469) 916-0521
Fax (972) 234-0212
Practice Location
17051 DALLAS PKWY
STE 100
ADDISON TX, 75001-7101, US
Phone (469) 916-0521
Fax (972) 234-0212
Business Location
PO BOX 268996
OKLAHOMA CITY OK, 73126-8996, US
Phone (469) 916-0521
Fax (972) 234-0212
Toxanomy
Taxonomy Code 261QP3300X
License State
License Number
Remove 1093038507 NPI Number
 

According to our database, Willowbend Interventional Pain Center, Llc NPI is 1093038507, taxonomy code is 261QP3300X Willowbend Interventional Pain Center, Llc physically located at 17051 Dallas Pkwy, Addison TX, 75001-7101. NPI Number 1033115704 has the healthcare provider type.

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1093038507 NPI number is provided on an as is basis without warranty of any kind. 1093038507 is maintained by the National Plan & Provider Enumeration System. The contents of Willowbend Interventional Pain Center, Llc are for informational purposes only.