Organization
NETWORK INTERVENTIONAL PAIN CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY WALLS (MANAGER)
(972) 234-4740
Entity
Organization
Contact information
Practice address
1778 N PLANO RD, STE 300B, RICHARDSON, TX 75081-1968
(972) 234-4740
(972) 231-7095
Mailing address
PO BOX 674166, DALLAS, TX 75267-4166
(972) 479-1115
(972) 346-8015
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
06/26/2014
Last updated
06/26/2014
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