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Organization
SPINE AND PAIN ANESTHESIA LLC
Active
Organization
SPINE AND PAIN ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRITESH PATEL DO (OWNER/PHYSICIAN)
(494) 313-0040
Entity
Organization
Contact information
Practice address
1001 YORK DR, DESOTO, TX 75115-2083
(494) 313-0040
Mailing address
PO BOX 1889, MUNCIE, IN 47308-1889
(765) 284-0493
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
Other
Enumeration date
06/29/2020
Last updated
06/29/2020
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