Organization
ADDISON INTERVENTIONAL PAIN MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN W EAST DO (OWNER)
(214) 505-0833
Entity
Organization
Contact information
Practice address
16633 DALLAS PKWY # 125, ADDISON, TX 75001-6816
(872) 380-0000
Mailing address
16633 DALLAS PKWY # 125, ADDISON, TX 75001-6816
(872) 380-0000
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
K7724
TX
Other
Enumeration date
11/28/2017
Last updated
11/28/2017
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