| NPI | 1962774273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAM BAILEY Chief Executive Officer 214-864-9774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: TX G8557) |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2012-02-01 |