| NPI | 1699579862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE HONG Authorized Official 469-389-8959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 208VP0000X |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 207L00000X Anesthesiology | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2025-04-04 |
| Last Update Date | 2025-09-19 |