| NPI | 1265922876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANOUCHEHR REFAEIAN Owner 915-593-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: TX J6684) |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2018-05-18 |