Stonebriar Interventional Pain Center, LLC

NPI #1588063499 in Addison, Texas

Provider Information

NPI Number: 1588063499
Entity Type: Organization
Organization Name: Stonebriar Interventional Pain Center, LLC
Primary Specialty: Registered Nurse
Enumeration Date: Aug 15, 2014
Last Updated: Aug 15, 2014

Practice Location

Address: 17051 DALLAS PKWY
Address 2: SUITE 100
City: Addison
State: Texas
ZIP Code: 75001-7109
Phone: (469) 916-0521

Authorized Official

Name: TRACY WALLS
Title: MANAGER
Phone: (972) 234-4740

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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