| NPI | 1023363017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CAREY POWELL Medical Director 409-981-5515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: TX E7236) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2013-08-01 |