| NPI | 1922494293 |
|---|---|
| Doing Business As | RED BIRD PAIN MANAGEMENT CLINIC |
| Entity Type | Organization |
| Authorized Contact | LAZUANDA GLEN Administrator 817-744-7524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2015-04-13 |