Organization · NPI-2

Blossom Neurology Centers LLC

Anesthesiology, Pain Medicine · Denton, TX

NPI number1275048258
StatusActive
Last updated in NPPESDec 12, 2017

Details

NPI
1275048258
Entity type
Organization (NPI-2)
Legal business name
Blossom Neurology Centers LLC
Organization subpart
No
Enumeration date
Dec 12, 2017
Last updated
Dec 12, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207LP2900X Anesthesiology, Pain Medicine––Yes
208VP0014X Pain Medicine, Interventional Pain Medicine––

Other names

  • Denton Pain Center (Doing Business As)

Practice location

721 S I 35 E Ste 142
Denton, TX 76205-8153

Phone 940-239-7771 · Fax 888-751-5345

Mailing address

Po Box 8887
Greenville, TX 75404-8887

Phone 888-345-4115

Authorized official

Patricia West
Owner/General Manager
9402397771

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