| 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 |