| NPI | 1376172304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAURUS L HUSTON Vice President 817-676-8982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2020-04-02 |