Organization · Type 2 NPI

Southlake Interventional Pain Center, LLC

Pain Clinic/Center · Bedford, TX

NPI number 1962705079 Active

Practice location

1305 Airport Fwy, Suite 103
Bedford, TX 76021-6605

Call (972) 234-4740 Map

Fax (817) 571-0897

Mailing address

PO Box 26485
Oklahoma City, OK 73126-0485

Specialties and licenses

TaxonomyCodeLicense
Pain Clinic/Center Primary 261QP3300XNone listed

Pain Clinic/Center: Definition to come...

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About NPI 1962705079

Southlake Interventional Pain Center, LLC's National Provider Identifier is 1962705079, issued on Dec 10, 2010. The primary taxonomy on file is Pain Clinic/Center (261QP3300X), and the practice location is in Bedford, TX. The record was last updated on Dec 10, 2010.