| NPI | 1659646925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN SIMMONS Manager 817-294-0934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine | |
| Enumeration Date | 2012-03-19 |
| Last Update Date | 2012-03-19 |