| NPI | 1962691998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN WRIGHT-MADSEN Office Manager 972-664-0606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QP3300X Clinic/Center, Pain |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2007-10-16 |