| NPI | 1811158843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SREENADHA R VATTAM CEO 214-765-6978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: TX M2851) |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2008-06-23 |