Organization
EVOLUTION PAIN CENTERS LLC
Active
Other names
Fort Worth Pain Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH YSBRAND (PARTNER)
(817) 372-1719
Entity
Organization
Contact information
Practice address
6789 CAMP BOWIE BLVD, FORT WORTH, TX 76116-7112
(817) 886-4654
(817) 489-5149
Mailing address
6789 CAMP BOWIE BLVD, FORT WORTH, TX 76116-7112
(817) 886-4654
(817) 489-5149
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
05/16/2018
Last updated
05/16/2018
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