| NPI | 1053500082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANLEY W. WHISENANT Dr. 972-276-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: TX J7725) |
| Additional Taxonomies | 261QP3300X Clinic/Center, Pain (Licence: TX J7725) |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2007-10-16 |