| NPI | 1316386311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN SIMMONS Manager 817-294-0934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: TX L3128) |
| Enumeration Date | 2013-06-23 |
| Last Update Date | 2013-06-23 |