| NPI | 1760967095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIBOR ANTHONY RACZ Owner 972-433-9720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2018-10-02 |
| Last Update Date | 2024-04-26 |