NPI | 1598290066 |
---|---|
Entity Type | Organization |
Authorized Contact | PARKER LEE COO 214-296-2011 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
208D00000X General Practice | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2017-04-21 |
Last Update Date | 2017-04-21 |