| NPI | 1821225772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL FLICKER Managing Member 940-381-0885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: FL OS5264) |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2009-06-18 |