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Organization

DALLAS PARKWAY PAIN PROCEDURE CENTERS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TED GROESBECK (OWNER)
(469) 682-6742
Entity
Organization

Contact information

Practice address
17110 DALLAS PKWY STE 120, DALLAS, TX 75248-1127
(972) 479-1115
(972) 346-8013
Mailing address
PO BOX 269092, OKLAHOMA CITY, OK 73126-9092
(972) 479-1115
(972) 346-8013

Taxonomy

Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary

Other

Enumeration date
12/18/2008
Last updated
12/18/2008
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