| NPI | 1477919686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IGOR RAKOVCHIK Director 214-221-2582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: TX N4020) |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2016-01-05 |