Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ambulatory Spine Procedure Center, LLC

Organization Pain Clinic/Center · NPI 1902135767

Ambulatory Spine Procedure Center, LLC is a Pain Clinic/Center in Dallas, Texas. Registered with an NPI since 2009.

In the registry since
2009
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

17110 Dallas Pkwy Ste 125
Dallas, TX 75248-1167
Phone: (469) 916-0521
Fax: (972) 234-0212
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X
Pain Clinic/Center Taxonomy 261QP3300X

Record details

NPI number1902135767
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ted Grosbeck — Manager · (469) 916-0521
NPI enumeratedDecember 8, 2009
Last updated in NPPESJune 6, 2016
Mailing addressPo Box 269083, Oklahoma City, OK 73126-9083

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