| NPI | 1700451853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHESH MOHAN Medical Director 214-808-7724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2021-05-21 |
| Last Update Date | 2021-05-21 |