Mansfield Interventional Pain Center, LLC

NPI #1972889517 in Mansfield, Texas

Provider Information

NPI Number
1972889517
Entity Type
Organization
Organization Name
Mansfield Interventional Pain Center, LLC
Primary Specialty
Clinic/Center - Pain
Enumeration Date
Oct 27, 2011
Last Updated
Oct 27, 2011

Practice Location

Address
1805 OWEN CT STE 119
Address 2
SUITE 119
State
Texas
ZIP Code
76063-4233
Phone
(972) 234-4740

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Clinic/Center - PainPain

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