Organization
TARRANT COUNTY AMBULATORY PAIN PROCEDURE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TED GROESBECK (VP OF OPERATIONS)
(972) 479-1115
Entity
Organization
Contact information
Practice address
914 LIPSCOMB ST, FORT WORTH, TX 76104-3122
(817) 348-8600
Mailing address
PO BOX 269084, OKLAHOMA CITY, OK 73126-9084
(972) 479-1115
(972) 346-8013
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
261QP3300X
Pain Clinic/Center
—
—
Other
Enumeration date
02/13/2008
Last updated
08/05/2008
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