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Organization
GRAPEVINE PAIN MANAGEMENT, LLC
Active
Organization
GRAPEVINE PAIN MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GAIL S MAYFIELD (PRESIDENT/CEO)
(817) 479-0800
Entity
Organization
Contact information
Practice address
2401 IRA E WOODS AVE, SUITE 700, GRAPEVINE, TX 76051-3997
(817) 488-9991
(817) 488-9992
Mailing address
5750 RUFE SNOW DR, SUITE 108, NORTH RICHLAND HILLS, TX 76180-6163
(817) 479-0800
(817) 479-0801
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
04/29/2009
Last updated
01/25/2011
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