| NPI | 1558322859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN W EAST President 972-380-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 207Q00000X Family Medicine (Licence: TX M1138) | |
| 207R00000X Internal Medicine (Licence: TX P8718) | |
| 208100000X Physical Medicine & Rehabilitation | |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2022-07-21 |