NPI | 1447797014 |
---|---|
Other Name | KAREN DELANE DICKERSON SOLE MBR |
Entity Type | Organization |
Authorized Contact | KAREN DELANE DICKERSON Owner 972-672-8484 |
Organization Subpart ? | No |
Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
Enumeration Date | 2017-01-20 |
Last Update Date | 2021-05-10 |