| NPI | 1780195412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY ALONZO Manger 469-998-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX Q8858) |
| Enumeration Date | 2017-10-20 |
| Last Update Date | 2017-10-20 |