NPI | 1073653820 |
---|---|
Entity Type | Organization |
Authorized Contact | JONATHAN BLAU Owner Physician 903-593-6500 |
Organization Subpart ? | No |
Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: TX J4721) |
Enumeration Date | 2007-02-08 |
Last Update Date | 2010-07-27 |