| NPI | 1093264855 |
|---|---|
| Other Name | BALCONES PAIN CONSULTANTS LAB |
| Entity Type | Organization |
| Authorized Contact | LAURI ROSE Chief Administrator 512-600-6620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TX 45D188237) |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2016-09-22 |