Organization
MATLOCK 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
603 MATLOCK CENTRE CIR, ARLINGTON, TX 76015-2535
(972) 234-4740
Mailing address
PO BOX 674259, DALLAS, TX 75267-4259
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
09/13/2011
Last updated
09/13/2011
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