| NPI | 1114375482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL S MCKEE Owner 210-545-0087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: TX L5046) |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2016-05-27 |