| NPI | 1083151369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENAUD RODRIGUE Physician/Owner 214-265-9991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX K4214) |
| 207LP2900X Anesthesiology Pain Medicine (Licence: TX K4214) | |
| 208VP0000X Pain Medicine Pain Medicine | |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2017-03-21 |