| NPI | 1780958777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN FRANCES MCNERNEY Director Of Operations 972-203-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Additional Taxonomies | 2083A0300X Preventive Medicine, Addiction Medicine |
| 208100000X Physical Medicine & Rehabilitation | |
| Enumeration Date | 2012-03-08 |
| Last Update Date | 2023-10-18 |