| NPI | 1538206313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL WEIDNER President 817-516-8111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX J0876) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2008-01-22 |