| NPI | 1699579862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE HONG Authorized Official 469-389-8959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 208VP0000X Pain Medicine Pain Medicine |
| 208VP0014X Pain Medicine Interventional Pain Medicine | |
| Enumeration Date | 2025-04-04 |
| Last Update Date | 2025-04-10 |