Organization
MIDTOWN INTERVENTIONAL PAIN CENTER LLD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TED GROSBECK (MANAGER)
(469) 362-6909
Entity
Organization
Contact information
Practice address
911 W ANDERSON LN, STE 104, AUSTIN, TX 78757-1501
(512) 467-1100
(512) 647-1101
Mailing address
PO BOX 674231, DALLAS, TX 75267-4231
(972) 479-1115
(972) 346-8015
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
12/22/2011
Last updated
12/22/2011
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