| NPI | 1174700975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES SIEFFERT Clinical Administrator 280-272-8944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: AZ OTC4333) |
| Enumeration Date | 2008-01-24 |
| Last Update Date | 2010-10-28 |