| NPI | 1467901645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL SARDELLA CEO 806-438-1069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2016-09-28 |
| Last Update Date | 2019-10-07 |