Organization
PRESTON PAIN INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE E KENNEDY (BILLING MANAGER)
(817) 488-9991
Entity
Organization
Contact information
Practice address
12800 PRESTON ROAD, PRESTON PAIN INSTITUTE SUITE # 201, DALLAS, TX 75230
(972) 386-9111
(972) 386-9118
Mailing address
PO BOX 702453, 12800 PRESTON ROAD SUITE # 201, DALLAS, TX 75230
(972) 386-9111
(972) 386-9118
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
R30913
TX
Other
Enumeration date
05/16/2007
Last updated
08/22/2020
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