| NPI | 1437542776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE PASCHALL Practice Manager 817-926-2663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2015-03-11 |
| Last Update Date | 2015-03-11 |