| NPI | 1487213070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMIT MIRCHANDANI Member 214-306-4116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center Pain |
| Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine |
| 208VP0014X Pain Medicine Interventional Pain Medicine | |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2020-06-12 |