| NPI | 1366450421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRENDAR KUMAR VERMA Owner 870-536-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: AR R-4265) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2024-03-12 |