| NPI | 1043755457 |
|---|---|
| Doing Business As | DFW MEDICAL PAIN & REHAB |
| Entity Type | Organization |
| Authorized Contact | JASON WANDER President 817-656-1615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: TX N6762) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX N6762) |
| Enumeration Date | 2016-12-21 |
| Last Update Date | 2016-12-21 |