| NPI | 1437662145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON BARNES Manager 972-872-8408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: TX Q7044) |
| 208VP0000X Pain Medicine, Pain Medicine | |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2022-02-24 |