| NPI | 1932481801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNNY LEE WHITE Physician 877-750-1027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: TX G1581) |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2012-12-31 |