| NPI | 1609353374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT S GROYSMAN Manager 214-302-7463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: TX m5735) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX m5735) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: TX m5735) | |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2020-01-22 |