Organization
DC SPINE AND PROCEDURE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TED GROSBECK (MANAGER)
(469) 362-6909
Entity
Organization
Contact information
Practice address
1778 N PLANO RD, STE 300B, RICHARDSON, TX 75081-1968
(469) 916-0521
(972) 234-0212
Mailing address
PO BOX 674277, DALLAS, TX 75267-4277
(469) 916-0521
(972) 234-0212
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
07/15/2011
Last updated
07/15/2011
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