NPI | 1306135629 |
---|---|
Doing Business As | DANIEL R THEESFELD |
Entity Type | Organization |
Authorized Contact | THERESA HENDERSON Office Manager 903-753-7333 |
Organization Subpart ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX J3712) |
Enumeration Date | 2011-04-07 |
Last Update Date | 2011-05-13 |