| NPI | 1104354604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN HASELOFF Physician 806-681-4860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2017-05-27 |
| Last Update Date | 2020-02-05 |