| NPI | 1922409747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM SIVARAMAN Billing Manager 214-618-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2014-09-12 |