| NPI | 1356570972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY W BARTH Medical Director 432-580-7004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX E7559) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 208VP0000X Pain Medicine, Pain Medicine | |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2010-11-16 |