Organization
DAVINCI PAIN CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TED GROSBECK (MANAGER)
(469) 362-6909
Entity
Organization
Contact information
Practice address
1305 AIRPORT FWY, SUITE 103, BEDFORD, TX 76021-6605
(972) 234-4740
(817) 571-0897
Mailing address
PO BOX 25943, OKLAHOMA CITY, OK 73125-0943
(972) 234-4047
(817) 571-0897
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
11/17/2010
Last updated
11/17/2010
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