| NPI | 1043460017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN HENRY President 512-454-5911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: TX M5221) |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2008-09-25 |