| NPI | 1508036963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN CHARLES DAGLEY President 972-291-9165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX L9668) |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: TX L9668) |
| Enumeration Date | 2008-03-01 |
| Last Update Date | 2008-03-01 |