| NPI | 1720430309 |
|---|---|
| Doing Business As | INTERVENTIONAL PAIN MANAGEMENT |
| Entity Type | Organization |
| Authorized Contact | DEBRA HENRY CFO 870-508-1003 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2017-07-20 |