| NPI | 1477932945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NISHA JAIN President 972-702-7546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| 225400000X Rehabilitation Practitioner | |
| 111NR0400X | |
| 208100000X Physical Medicine & Rehabilitation | |
| 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine | |
| 2083B0002X Preventive Medicine, Obesity Medicine | |
| 208VP0000X Pain Medicine, Pain Medicine | |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2019-12-08 |