| NPI | 1720387822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAIME C LIM Owner/Sole Member 940-322-1075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P2900X Psychiatry & Neurology, Pain Medicine |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2011-03-15 |