| NPI | 1609355932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLAVIO CALDERON Director 214-709-1904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine Pain Medicine |
| Additional Taxonomies | 2083B0002X Preventive Medicine Obesity Medicine |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2020-04-20 |