| NPI | 1457712291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VAHEH DAVOUDIAN CEO 469-971-3188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2016-03-07 |