| NPI | 1881030187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER S BAEK President 817-516-8811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2013-05-14 |