| NPI | 1043413966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT CHOUTEAU Director 214-340-5090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0800X Clinic/Center, Recovery Care |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2020-08-22 |