| NPI | 1740629492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNIE HUGHES System Enrollment Specialist 254-215-9790 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: TX 9) |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2022-07-21 |