| NPI | 1265634679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAIME LIM Owner 940-322-1075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 2084P2900X Psychiatry & Neurology, Pain Medicine |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2020-08-22 |