# BLOSSOM NEUROLOGY CENTERS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Denton Pain Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275048258
- **Authorized official:** PATRICIA WEST (OWNER/GENERAL MANAGER)
- **Authorized official phone:** (940) 239-7771

## Contact information

- **Practice address:** 721 S I 35 E STE 142, DENTON, TX 76205-8153
- **Practice address phone:** (940) 239-7771
- **Practice address fax:** (888) 751-5345
- **Mailing address:** PO BOX 8887, GREENVILLE, TX 75404-8887
- **Mailing address phone:** (888) 345-4115

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |
| 208VP0014X | Interventional Pain Medicine Physician | — | NULL | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 12/12/2017
- **Last updated:** 12/12/2017