| NPI | 1689119463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA MARIE BAILEY Administration 972-954-1469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 207LP2900X Anesthesiology, Pain Medicine | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 363L00000X Nurse Practitioner | |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2017-01-03 |
| Last Update Date | 2021-05-06 |