Organization
WESTLAKE INTERVENTIONAL PAIN CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TED GROSBECK (MANAGER)
(469) 362-6909
Entity
Organization
Contact information
Practice address
901 W 38TH ST, SUITE 101, AUSTIN, TX 78705-1163
(972) 234-4740
(972) 234-0212
Mailing address
P O BOX 674194, DALLAS, TX 75267-4194
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
04/10/2012
Last updated
04/10/2012
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