| NPI | 1497375463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RITA PANNELL Revenue Cycle Manager 214-310-6763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2020-04-20 |
| Last Update Date | 2023-11-27 |