| NPI | 1902955099 |
|---|---|
| Doing Business As | TEXARKANA PAIN MANAGEMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | JEFFREY PAUL CROUCH Administrator 903-794-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2009-03-19 |