| NPI | 1396999256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY T HOLUBEC Owner 972-672-8921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: TX H0458) |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2011-10-19 |