Organization
CREST INTERVENTIONAL PROCEDURE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TED GROSBECK (MANAGER)
(469) 362-6909
Entity
Organization
Contact information
Practice address
603 MATLOCK CENTRE CIR, ARLINGTON, TX 76015-2535
(972) 234-4740
(972) 231-7095
Mailing address
PO BOX 268969, OKLAHOMA CITY, OK 73126-8969
(972) 234-4740
(972) 231-7095
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
01/28/2010
Last updated
02/16/2011
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