Organization
AUSTIN INTERVENTIAL PAIN PROCEDURES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TED GROSBECK (CEO)
(469) 362-6909
Entity
Organization
Contact information
Practice address
911 W ANDERSON LN, SUITE 104, AUSTIN, TX 78757-1501
(512) 467-1100
(512) 467-1101
Mailing address
PO BOX 268866, OKLAHOMA CITY, OK 73126-8866
(972) 479-1115
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
05/29/2009
Last updated
06/06/2016
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