| NPI | 1871661942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISHA R BERG Office Manager 469-541-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2023-09-28 |