| NPI | 1447446570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK EDWIN JORDAN Owner 731-660-5116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: TN MD14614) |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2007-12-03 |