| NPI | 1063557064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AGUEDA LARA-SMALLING Administrator 281-777-0599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 261QP3300X Clinic/Center, Pain |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-08-22 |