| NPI | 1164656872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NARA PRAPAN PRAVAT Director 817-821-5026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2009-05-08 |
| Last Update Date | 2015-06-01 |