| NPI | 1003080185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA CONTRERAS Business Office Supervisor 214-654-2129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: TX J3877) |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2011-01-19 |