| NPI | 1497412290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVINASH SURESH CHAVDA Chief Executive Officer 214-883-8303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2021-11-29 |
| Last Update Date | 2024-06-24 |