| NPI | 1740075381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKE ELIZABETH BAISAS Practice Manager 817-360-4881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0000X Registered Nurse, Pain Management |
| Enumeration Date | 2025-04-14 |
| Last Update Date | 2025-04-14 |