NPI | 1558885749 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN BLICK Physician/Owner 580-339-8001 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
Enumeration Date | 2017-07-28 |
Last Update Date | 2023-10-25 |