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 |