| NPI | 1932613031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN W EAST Owner 214-505-0833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: TX K7724) |
| Enumeration Date | 2017-11-28 |
| Last Update Date | 2017-11-28 |