| NPI | 1679194872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRY SHEEHAN Practice Administrator 214-948-7700 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2024-11-06 |