| NPI | 1982412854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SREENADHA REDDY VATTAM Authorized Official 903-892-1999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2024-12-24 |
| Last Update Date | 2024-12-24 |