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 |