| NPI | 1639748791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLA TAMARKIN-MOSSERI Owner 817-482-6413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2021-06-23 |
| Last Update Date | 2021-06-23 |