NPI | 1649033853 |
---|---|
Entity Type | Organization |
Authorized Contact | WESLEY A PEACE Member 903-571-3844 |
Organization Subpart ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
Enumeration Date | 2024-01-31 |
Last Update Date | 2024-01-31 |