| NPI | 1285028142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERIWETHER LEWIS FRAZIER Owner 972-596-1059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: TX J9037) |
| Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine (Licence: TX J9037) |
| 207X00000X Orthopaedic Surgery (Licence: TX J9037) | |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2015-03-27 |