NPI | 1982200457 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN SAUL CEO 817-266-2533 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine |
Additional Taxonomies | 111NS0005X Chiropractor Sports Physician |
Enumeration Date | 2020-12-09 |
Last Update Date | 2022-10-31 |