NPI | 1225727944 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT ALAN MOORE Owner 346-646-3100 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
261QP2000X Clinic/Center, Physical Therapy | |
261QP3300X Clinic/Center, Pain | |
208100000X Physical Medicine & Rehabilitation | |
Enumeration Date | 2023-05-08 |
Last Update Date | 2023-05-08 |