| NPI | 1780021469 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ALIK SAIDOV Owner/Md 817-522-3672  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: TX P5464)  | 
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX P5464)  | 
| Enumeration Date | 2013-06-04 | 
| Last Update Date | 2013-08-19 |