Fw Interventional Pain Center, LLC

NPI #1285077206 in Ft Worth, Texas

Provider Information

NPI Number
1285077206
Entity Type
Organization
Organization Name
Fw Interventional Pain Center, LLC
Primary Specialty
Clinic/Center - Pain
Enumeration Date
Apr 9, 2013
Last Updated
Apr 9, 2013

Practice Location

Address
1201 SUMMIT AVE
Address 2
SUITE 400
State
Texas
ZIP Code
76102-4413
Phone
(817) 334-0990

Authorized Official

Name
TRACY WALLS
Title
PRESIDENT
Phone
(972) 234-4740

Specialties & Taxonomy Codes

Specialty
Clinic/Center - PainPain

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