Organization
INNATE PAIN AND ANESTHESIA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY MARTIN (OWNER/AUTHORIZED OFFICIAL)
(469) 215-3494
Entity
Organization
Contact information
Practice address
128 N HIGHWAY 77, WAXAHACHIE, TX 75165-1800
(972) 789-1234
(972) 789-1589
Mailing address
6760 PISTOIA DR, FRISCO, TX 75034-2381
(469) 215-3494
(972) 789-1589
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
03/20/2019
Last updated
06/11/2019
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