Organization
PAIN FREE TEXAS 823, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARRA MATHEWS (OWNER)
(469) 755-6101
Entity
Organization
Contact information
Practice address
4213 CLAREMONT DR, GRAND PRAIRIE, TX 75052-1303
(469) 755-6101
Mailing address
4213 CLAREMONT DR, GRAND PRAIRIE, TX 75052-1303
(469) 755-6101
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
09/17/2020
Last updated
09/17/2020
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