| NPI | 1912710484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WHITNEY RAE HUGHES Billing Manager 972-645-1260 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine |
| Enumeration Date | 2025-01-29 |
| Last Update Date | 2025-01-29 |