Organization
KENSINGTON INTERVENTIONAL PAIN CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY WALLS (MANAGER)
(972) 234-4740
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 674267, DALLAS, TX 75267-4267
(972) 234-4740
(817) 571-0897
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
01/07/2015
Last updated
01/07/2015
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