| NPI | 1588863278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH L FULTS President 903-526-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: TX D5384) |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2007-07-13 |