Organization
KELLER INTERVENTIONAL PAIN CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TED GROSBECK (MANAGER)
(469) 362-6909
Entity
Organization
Contact information
Practice address
1305 AIRPORT FWY, SUITE 103, BEDFORD, TX 76021-6605
(817) 571-2607
(817) 571-0897
Mailing address
PO BOX 674191, DALLAS, TX 75267-4191
(817) 571-2607
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
02/27/2012
Last updated
02/27/2012
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