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Organization

INTERVENTIONAL SPINE AND PAIN, LLP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PABLO ZEBALLOS D.O. (D.O., AUTHORZED OFFICIAL)
(214) 888-3900
Entity
Organization

Contact information

Practice address
7115 GREENVILLE AVE STE 230, DALLAS, TX 75231
(214) 888-3888
(214) 888-3901
Mailing address
12221 MERIT DR, SUITE 620, DALLAS, TX 75251-2202
(214) 506-2610
(972) 681-8727

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
208VP0014X
Interventional Pain Medicine Physician
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
05/22/2015
Last updated
08/23/2018
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