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Organization

NOBLE PAIN MANAGEMENT AND SPORTS MEDICINE PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CAROLYN TRIPP (PRACTICE MANAGER)
(817) 518-1112
Entity
Organization

Contact information

Practice address
431 E STATE HIGHWAY 114 STE 120, SOUTHLAKE, TX 76092-4416
(817) 518-1112
(817) 518-1113
Mailing address
431 E STATE HIGHWAY 114 STE 120, SOUTHLAKE, TX 76092-4416
(817) 518-1112
(817) 518-1113

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
208VP0014X
Interventional Pain Medicine Physician
Primary

Other

Enumeration date
03/03/2014
Last updated
08/10/2020
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