| NPI | 1366716813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD TARIQ Owner 214-705-7749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Additional Taxonomies | 261QP3300X Clinic/Center Pain (Licence: TX K1092) |
| Enumeration Date | 2012-03-01 |
| Last Update Date | 2012-03-01 |