| NPI | 1215208905 |
|---|---|
| Doing Business As | WELLSPRING PAIN CENTER |
| Entity Type | Organization |
| Authorized Contact | ANDREW MICHAEL KLYMIUK Owner 972-690-0550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine Pain Medicine (Licence: TX K8265) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: TX K8265) |
| 2084P0802X Psychiatry & Neurology Addiction Psychiatry (Licence: TX K8265) | |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2012-01-26 |