| NPI | 1780023432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN SIMMONS Manager 817-294-0934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: TX L3128) |
| Enumeration Date | 2013-06-16 |
| Last Update Date | 2013-06-22 |