| NPI | 1073568325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIMMY NOLAN PONDER Owner/CEO 985-580-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2013-08-08 |