NPI | 1912458233 |
---|---|
Entity Type | Organization |
Authorized Contact | ALOK KUSHWAHA Physician 817-581-7246 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX K1232) |
Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: TX Q1455) |
Enumeration Date | 2016-10-21 |
Last Update Date | 2016-10-21 |