| 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 |