NPI | 1174903975 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREW HENRY MORCHOWER Owner 214-705-1200 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: TX N1784) |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2015-06-05 |
Last Update Date | 2022-06-02 |