| NPI | 1780917179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY NICHOLE MAWBY Practice Manager 972-956-5541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: TX M6482) |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2012-12-04 |