| NPI | 1902091614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIVANI H. PATEL President 972-300-4171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: TX M0523) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX M0523) |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2008-05-07 |