| NPI | 1770860751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRABHAV K TELLA President 972-956-5541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: TX M2854) |
| Enumeration Date | 2011-11-04 |
| Last Update Date | 2011-11-04 |