TOTAL PAIN MEDICINE & ANESTHESIOLOGY PA
Osteopathic Medicine in Hurst, TX

License number
Texas NOT APPLICABLE
Category
Osteopathic Medicine
Type
Pain Medicine
Owner
Name: MARY ANN KAESBERGER
Title: PRACTICE MANAGER
Phone: (817) 868-1109
Address
Address 2
729 WEST Bedford-Euless Rd SUITE 111, Hurst, TX 76053
PO Box 780, Colleyville, TX 76034
National Provider ID: 1003811852
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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TOTAL PAIN MEDICINE & ANESTHESIOLOGY, PA

729 W Bedford Euless Rd STE 111, Hurst, TX 76053

Registration:
May 16, 1983
State ID:
0080910003
Business type:
Professional Association
President , Secretary , Director , Member:
A. L. Shaw (President , Secretary , Director , Member)
Agent:
A L. Shaw,729 W Beford Euless Rd SUITE 111, Hurst, TX 76053 (Physical)
TIN:
30007422048

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