Organization
RENDON 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
1805 OWEN CT, SUITE 119, MANSFIELD, TX 76063-4232
(682) 518-7386
(682) 518-0933
Mailing address
PO BOX 674207, DALLAS, TX 75267-4207
(972) 479-1115
(972) 479-1118
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
01/16/2012
Last updated
01/16/2012
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