| NPI | 1326432295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY R WILL Owner 972-777-6101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2023-08-30 |