| NPI | 1043436637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL S HEINRICH Provider 325-649-9613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: TX M3253) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2008-08-25 |