Organization
DENTON PAIN MANAGEMENT CENTER, LLC
Active
Other names
Plastic Surgery Center of North Texas, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VINCENT MONTELIONE (PRESIDENT)
(954) 608-3737
Entity
Organization
Contact information
Practice address
3201 COLORADO BLVD, DENTON, TX 76210
(954) 835-0005
(954) 472-8271
Mailing address
3201 COLORADO BLVD, DENTON, TX 76210
(954) 835-0005
(954) 472-8271
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
007828
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HH1581
BLUE CROSS BLUE SHIELD OF TEXAS
TX
Enumeration date
08/26/2008
Last updated
06/23/2009
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