| NPI | 1306857305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY KRETZ Chief Operations Officer 469-326-5151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2023-06-06 |