| NPI | 1275194417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA CONLEY Office Manager 972-382-9992 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2022-01-27 |