| 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 |