| NPI | 1316115249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TED GROESBECK VP Of Operations 972-479-1115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 261QP3300X Clinic/Center, Pain |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2008-08-05 |