NPI | 1144609157 |
---|---|
Entity Type | Organization |
Authorized Contact | PABLO ZEBALLOS D.O., Authorzed Official 214-888-3900 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
208VP0014X Pain Medicine, Interventional Pain Medicine | |
Enumeration Date | 2015-05-22 |
Last Update Date | 2018-08-23 |