| NPI | 1245540079 |
|---|---|
| Doing Business As | WELLSPRING PAIN CENTER |
| Entity Type | Organization |
| Authorized Contact | ANDREW MICHAEL KLYMIUK Owner 972-690-0550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TX K8265) |
| Enumeration Date | 2010-10-14 |
| Last Update Date | 2010-10-14 |