Organization
DESOTO PAIN PARTNERS, LP
Active
Other names
Wheatland Procedure Center
Organization subpart
No
Provider details
NPI number
Authorized official
TED GROSEBECK (VP OPERATIONS)
(469) 682-6742
Entity
Organization
Contact information
Practice address
1026 E WHEATLAND RD, DUNCANVILLE, TX 75116
(972) 234-4740
Mailing address
PO BOX 269006, OKLAHOMA CITY, OK 73126
(972) 479-1129
(972) 479-1118
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
12/14/2006
Last updated
08/22/2020
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