| NPI | 1598335606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT CRITTENDEN Owner 256-302-2228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2022-07-07 |