| NPI | 1912466384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICARDO A ALVARADO Admin 214-390-7697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2019-03-15 |
| Last Update Date | 2019-03-15 |