| NPI | 1376926030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA POWERS Manager 972-953-9531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: TX Q0953) |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2015-06-30 |