Organization
PRO-ACTIVE LIFE TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERHARD MAALE M.D. (PRESIDENT)
(214) 696-7200
Entity
Organization
Contact information
Practice address
8230 WALNUT HILL LN, SUITE 514, DALLAS, TX 75231-4482
(214) 696-7200
(214) 691-1123
Mailing address
8230 WALNUT HILL LN, SUITE 514, DALLAS, TX 75231-4482
(214) 696-7200
(214) 691-1123
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
05/01/2008
Last updated
05/01/2008
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