| NPI | 1790220408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANEKA TINCH Rcm Manager 469-458-9222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NC 200100673) |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2025-12-08 |