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 |