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Organization
INTERVENTIONAL SPINE AND PAIN, LLP
Active
Organization
INTERVENTIONAL SPINE AND PAIN, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PABLO ZEBALLOS DO (OWNER)
(214) 506-2610
Entity
Organization
Contact information
Practice address
17051 NORTH DALLAS PARKWAY, SUITE 300, ADDISON, TX 75001
(214) 506-2610
(214) 506-1170
Mailing address
12221 MERIT DR STE 620, DALLAS, TX 75251-3222
(214) 506-2610
(972) 681-8727
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
NULL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
Other
Enumeration date
01/30/2015
Last updated
07/23/2017
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