| NPI | 1013163179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL D ANDERSON Owner 972-239-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 8788) |
| Additional Taxonomies | 208VP0014X Pain Medicine Interventional Pain Medicine |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2011-01-27 |