NPI | 1184304743 |
---|---|
Entity Type | Organization |
Authorized Contact | PAUL MARCIANO President 817-915-3557 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
261QM1300X Clinic/Center, Multi-Specialty | |
207Q00000X Family Medicine | |
207R00000X Internal Medicine | |
2083S0010X Preventive Medicine, Sports Medicine | |
Enumeration Date | 2023-07-19 |
Last Update Date | 2023-07-19 |