| NPI | 1487053492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDY BARROW Credentialling Coordinator 214-378-4661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: FL ME 115987) |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2014-08-14 |