Organization
RED BIRD URGENT CARE CLINIC, P.A.
Active
Other names
Red Bird Pain Management Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAZUANDA GLEN (ADMINISTRATOR)
(817) 744-7524
Entity
Organization
Contact information
Practice address
4323 S HAMPTON RD, DALLAS, TX 75232-1058
(214) 330-7777
Mailing address
PO BOX 6539, FORT WORTH, TX 76115-0539
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
04/13/2015
Last updated
04/13/2015
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