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Organization

BLOSSOM NEUROLOGY CENTERS LLC

Active
Other names
Denton Pain Center
Organization subpart
No

Provider details

NPI number
Authorized official
PATRICIA WEST (OWNER/GENERAL MANAGER)
(940) 239-7771
Entity
Organization

Contact information

Practice address
721 S I 35 E STE 142, DENTON, TX 76205-8153
(940) 239-7771
(888) 751-5345
Mailing address
PO BOX 8887, GREENVILLE, TX 75404-8887
(888) 345-4115

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
208VP0014X
Interventional Pain Medicine Physician

Other

Enumeration date
12/12/2017
Last updated
12/12/2017
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