| NPI | 1144673468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN TUNINK Manager 817-917-9582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2024-09-26 |