Organization
TRINITY PAIN MEDICINE ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHLEY M CLASSEN D.O. (MEDICAL DIRECTOR)
(817) 332-3664
Entity
Organization
Contact information
Practice address
1401 HENDERSON ST, FORT WORTH, TX 76102-6026
(817) 332-3664
(817) 336-6440
Mailing address
PO BOX 9290, FORT WORTH, TX 76147-2290
(817) 332-3664
(817) 336-6440
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0040CG
GROUP NUMBER
TX
05
—
079577501
—
TX
Enumeration date
09/20/2006
Last updated
01/09/2009
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