| NPI | 1164633855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIMMY L. NOBLE Credentialing Coordinator 817-529-1923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: TX L6944) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2008-07-29 |