| NPI | 1376405167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANEKA TINCH Rcm Manager 469-458-9222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2025-12-01 |
| Last Update Date | 2025-12-08 |