| NPI | 1275037574 |
|---|---|
| Doing Business As | MB LASER THERAPY |
| Entity Type | Organization |
| Authorized Contact | DIANNA NGUYEN COO 817-995-5935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: TX J3242) |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: TX J3242) |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2018-03-21 |