| NPI | 1699122101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN C KONING President 469-252-4777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX Q0953) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2024-03-27 |