| NPI | 1316204571 | 
|---|---|
| Doing Business As | SOUTHWEST PAIN GROUP | 
| Entity Type | Organization | 
| Authorized Contact | ROBERT R BULGER Physician 214-265-9991 | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine | 
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical | 
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2012-04-12 | 
| Last Update Date | 2012-04-12 |