Organization
CLEBURNE INTERVENTIONAL PAIN PROCEDURE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TED GROSBECK (MANAGER)
(469) 362-6909
Entity
Organization
Contact information
Practice address
121 S WESTMEADOW DR STE C, CLEBURNE, TX 76033-4590
(972) 234-4740
(972) 231-7095
Mailing address
PO BOX 678439, DALLAS, TX 75267-8439
(972) 234-4740
(817) 645-5944
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
01/19/2010
Last updated
08/05/2010
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