| NPI | 1750020921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANISH MIRCHANDANI Owner 469-757-7623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2022-06-03 |
| Last Update Date | 2022-06-03 |