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Organization
NORTH DALLAS COMPREHENSIVE PAIN CENTER, LLC
Active
Organization
NORTH DALLAS COMPREHENSIVE PAIN CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TED GROESBECK (VP OPERATIONS)
(469) 682-6742
Entity
Organization
Contact information
Practice address
17110 DALLAS PKWY STE 125, DALLAS, TX 75248-1181
(972) 479-1115
(972) 346-8013
Mailing address
PO BOX 268953, OKLAHOMA CITY, OK 73126-8953
(972) 479-1115
(972) 346-8013
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
261QP3300X
Pain Clinic/Center
—
—
Other
Enumeration date
12/14/2006
Last updated
08/05/2008
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