| NPI | 1336425289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE JANE WILLIAMS Office Manager 817-877-4787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine Pain Medicine (Licence: TX E9484) |
| Enumeration Date | 2011-10-24 |
| Last Update Date | 2011-11-21 |