| NPI | 1255972972 |
|---|---|
| Doing Business As | EXCALIBUR PAIN AND REHAB |
| Entity Type | Organization |
| Authorized Contact | CHAU UONG Physician 214-641-5777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center Pain |
| Additional Taxonomies | 261QR0400X Clinic/Center Rehabilitation |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2020-03-19 |