NPI | 1942939152 |
---|---|
Doing Business As | PRIVIA MEDICAL GROUP NORTH TEXAS |
Entity Type | Organization |
Authorized Contact | LARRY D TATUM CEO 817-740-8400 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
Enumeration Date | 2022-06-06 |
Last Update Date | 2022-06-06 |