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 |