| NPI | 1093205858 |
|---|---|
| Doing Business As | FORT WORTH PAIN CENTER |
| Entity Type | Organization |
| Authorized Contact | JOSEPH YSBRAND Partner 817-372-1719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2018-05-16 |