| NPI | 1801267661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH AMOS Sole Proprietor 214-293-9067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine Pain Medicine |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 2081P2900X Physical Medicine & Rehabilitation Pain Medicine | |
| 2081S0010X Physical Medicine & Rehabilitation Sports Medicine | |
| 208VP0014X Pain Medicine Interventional Pain Medicine | |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2025-02-04 |