Organization
INTERVENTIONAL SPINE AND PAIN, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK LEDOUX MD (OWNER)
(214) 888-3900
Entity
Organization
Contact information
Practice address
17501 NORTH DALLAS PARKWAY, SUITE 300, ADDISON, TX 75001
(214) 888-3900
(214) 888-3901
Mailing address
17051 DALLAS PKWY STE 300, ADDISON, TX 75001-7105
(214) 888-3900
(214) 888-3901
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/24/2017
Last updated
06/07/2022
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