| NPI | 1487774717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN D FISK Doctor 214-358-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: TX H9077) |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: TX H9077) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2007-12-04 |