NPI | 1003281577 |
---|---|
Entity Type | Organization |
Authorized Contact | CHAD DOMANGUE Partner 985-801-0575 |
Organization Subpart ? | No |
Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
Enumeration Date | 2015-12-09 |
Last Update Date | 2015-12-09 |