| NPI | 1093394660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA MERTZ Owner 512-474-1895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2021-04-02 |
| Last Update Date | 2021-04-05 |