Organization
MEDICAL EDGE HEALTHCARE GROUP PA
Active
Other names
Capstone Pain Management
Organization subpart
No
Provider details
NPI number
Authorized official
CLAY M HEIGHTEN MD (PRESIDENT)
(972) 739-3001
Entity
Organization
Contact information
Practice address
7273 HAWKINS VIEW DR, FORT WORTH, TX 76132-3921
(817) 292-8585
(817) 292-0577
Mailing address
7273 HAWKINS VIEW DR, FORT WORTH, TX 76132-3921
(817) 292-8585
(817) 292-0577
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/17/2010
Last updated
01/19/2011
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