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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 D.O. (D.O., AUTHORZED OFFICIAL)
(214) 888-3900
Entity
Organization
Contact information
Practice address
7115 GREENVILLE AVE STE 230, DALLAS, TX 75231
(214) 888-3888
(214) 888-3901
Mailing address
12221 MERIT DR, SUITE 620, DALLAS, TX 75251-2202
(214) 506-2610
(972) 681-8727
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
NULL
208VP0014X
Interventional Pain Medicine Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
05/22/2015
Last updated
08/23/2018
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