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Organization
WILSHIRE INTERVENTIONAL PAIN CENTER LLC
Active
Organization
WILSHIRE INTERVENTIONAL PAIN CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTY MCGILL (DIRECTOR OF NETWORK DEVELOPMENT)
(972) 215-7410
Entity
Organization
Contact information
Practice address
901 W 38TH ST, SUITE 101, AUSTIN, TX 78705-1163
(512) 501-2110
(512) 371-8747
Mailing address
PO BOX 674326, DALLAS, TX 75267-4326
(512) 467-1100
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
07/02/2015
Last updated
04/20/2016
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