Organization · Type 2 NPI

Presidio Pain Center, LLC

Pain Clinic/Center · Fort Worth, TX

NPI number 1790089720 Active

Practice location

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

Call (972) 234-4740 Map

Fax (972) 231-7095

Mailing address

PO Box 702620
Tulsa, OK 74170-2620

Specialties and licenses

TaxonomyCodeLicense
Pain Clinic/Center Primary 261QP3300XNone listed

Pain Clinic/Center: Definition to come...

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About NPI 1790089720

Presidio Pain Center, LLC's National Provider Identifier is 1790089720, issued on Jan 5, 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 Jan 5, 2011.