NPI | 1033922034 |
---|---|
Entity Type | Organization |
Authorized Contact | MARTIN LOPEZ Owner 405-862-7274 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
Enumeration Date | 2025-01-31 |
Last Update Date | 2025-01-31 |