| NPI | 1972040350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT BULGER Owner 214-265-9991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine |
| 207L00000X Anesthesiology | |
| Enumeration Date | 2017-01-24 |
| Last Update Date | 2017-01-24 |