| NPI | 1073259156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARED HEATHMAN Managing Member 281-201-4511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P2900X Psychiatry & Neurology, Pain Medicine |
| Enumeration Date | 2022-05-11 |
| Last Update Date | 2022-05-11 |