# INTERVENTIONAL SPINE & PAIN, LLP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427571355
- **Authorized official:** PABLO ZEBALLOS MD (OWNER)
- **Authorized official phone:** (219) 218-2484

## Contact information

- **Practice address:** 8222 DOUGLAS AVENUE, STE. 890, DALLAS, TX 75225-7036
- **Practice address phone:** (214) 888-3900
- **Practice address fax:** (972) 681-8727
- **Mailing address:** ATTN: CYNTHIA REYNOLDS CREDENTIALER, 18670 GRAPHICS DR. STE. 100, TINLEY PARK, IL 60477-6653
- **Mailing address phone:** (708) 228-4262
- **Mailing address fax:** (708) 314-7505

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |

## Other

- **Enumeration date:** 07/23/2017
- **Last updated:** 12/07/2018