| NPI | 1063257830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSEN MUKALEL President 281-721-9667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2024-06-25 |
| Last Update Date | 2026-03-20 |