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Organization

THERAPEUTIC DIMENSIONS, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GORDON A BEARDWOOD MD (OWNER)
(210) 824-5292
Entity
Organization

Contact information

Practice address
900 W 38TH ST, SUITE 400, AUSTIN, TX 78705-1127
(512) 291-7250
(512) 291-7265
Mailing address
PO BOX 1337, SAN ANTONIO, TX 78295-1337
(210) 824-5292
(210) 824-5240

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
208VP0014X
Interventional Pain Medicine Physician
Primary

Other

Enumeration date
09/25/2009
Last updated
10/27/2009
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