| NPI | 1336658236 |
|---|---|
| Doing Business As | SOUTHWEST SPORTS AND SPINE CENTER |
| Entity Type | Organization |
| Authorized Contact | NATALIE DUPLECHIAN Office Manager 817-294-0934 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: TX M3643) |
| Enumeration Date | 2017-09-22 |
| Last Update Date | 2018-03-17 |