Organization · Type 2 NPI

Penn Interventional Pain Center, LLC

Pain Clinic/Center · Fort Worth, TX

NPI number 1124310073 Active

Practice location

1201 Summit Ave, Suite 400
Fort Worth, TX 76102-4413

Call (972) 234-4740 Map

Fax (817) 571-0897

Mailing address

PO Box 268934
Oklahoma City, OK 73126-8934

Specialties and licenses

TaxonomyCodeLicense
Pain Clinic/Center Primary 261QP3300XNone listed

Pain Clinic/Center: Definition to come...

31 other providers at this address

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About NPI 1124310073

Penn Interventional Pain Center, LLC's National Provider Identifier is 1124310073, issued on May 11, 2011. The primary taxonomy on file is Pain Clinic/Center (261QP3300X), and the practice location is in Fort Worth, TX. The record was last updated on May 11, 2011.