Organization
TOTAL PAIN MEDICINE & ANESTHESIOLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ANN KAESBERGER (PRACTICE MANAGER)
(817) 868-1109
Entity
Organization
Contact information
Practice address
729 WEST BEDFORD-EULESS ROAD, SUITE 111, HURST, TX 76053
(817) 868-1109
(817) 545-8266
Mailing address
PO BOX 780, COLLEYVILLE, TX 76034
(817) 868-1109
(817) 545-8266
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
NOT APPLICABLE
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
081360201
—
TX
Enumeration date
06/17/2005
Last updated
07/27/2010
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