NPI | 1699368571 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN SAUL CEO 817-266-2533 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
Additional Taxonomies | 111N00000X Chiropractor |
207R00000X Internal Medicine | |
Enumeration Date | 2021-02-11 |
Last Update Date | 2022-10-31 |