| NPI | 1699468546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRAVEEN NATAKAL PAKEERAPPA CEO 903-401-5145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine |
| Enumeration Date | 2023-05-26 |
| Last Update Date | 2024-01-03 |