| NPI | 1083195259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATY LYNN BONNSTETTER Chief Legal Officer 512-244-4272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2025-08-18 |