| NPI | 1619511300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW S CARTER Owner/Provider 972-535-6800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2019-11-05 |