| NPI | 1871968586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDY K BARROW Credentialing Corrdinator 214-396-3936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2015-12-07 |