| NPI | 1588693782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LACY REEDER Director Of Operations 325-698-4545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: TX K1266) |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2014-12-03 |