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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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