| NPI | 1093994865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH INDIA EVERSULL Proprietor 214-516-9722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: TX L5328) |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2007-11-27 |