Burleson Interventional Pain Center, LLC

NPI #1356627988 in Mansfield, Texas

Provider Information

NPI Number
1356627988
Entity Type
Organization
Organization Name
Burleson Interventional Pain Center, LLC
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
Oct 27, 2011
Last Updated
Jun 6, 2016

Practice Location

Address
1805 OWEN CT
Address 2
SUITE 119
State
Texas
ZIP Code
76063-4232
Phone
(972) 234-4740

Authorized Official

Name
TED GROSBECK
Title
MANAGER
Phone
(469) 362-6909

Specialties & Taxonomy Codes

Specialty
Clinic/Center - PainPain
Nurse Anesthetist, Certified Registered

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