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Organization
WHITE ROCK INTERVENTIONAL PAIN CENTER LLC
Active
Organization
WHITE ROCK INTERVENTIONAL PAIN CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY WALLS (PRESIDENT)
(469) 916-0521
Entity
Organization
Contact information
Practice address
17051 DALLAS PKWY, SUITE 100, ADDISON, TX 75001-7109
(469) 916-0521
Mailing address
PO BOX 674156, DALLAS, TX 75267-4156
(469) 916-0521
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
06/19/2015
Last updated
04/20/2016
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