Organization
CLEBURNE INTERVENTIONAL PAIN & SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TED GROSBECK (MANAGER)
(469) 362-6909
Entity
Organization
Contact information
Practice address
121C S WESTMEADOW DR, CLEBURNE, TX 76033
(972) 234-4740
(972) 231-7095
Mailing address
PO BOX 678313, DALLAS, TX 75267-8313
(817) 645-5944
(972) 231-7095
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
10/29/2009
Last updated
10/29/2009
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