| NPI | 1972982734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | R. JAMIE SPICER Owner 214-973-9106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2023-06-08 |