White Rock Interventional Pain Center LLC

NPI #1932581576 in Addison, Texas

Provider Information

NPI Number
1932581576
Entity Type
Organization
Organization Name
White Rock Interventional Pain Center LLC
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
Jun 19, 2015
Last Updated
Apr 20, 2016

Practice Location

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

Authorized Official

Name
TRACY WALLS
Title
PRESIDENT
Phone
(469) 916-0521

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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