NPI | 1114408242 |
---|---|
Doing Business As | EXCELSIOR PAIN MANAGEMENT |
Entity Type | Organization |
Authorized Contact | JONATHAN WEILON CHIN Physician/Founder 512-846-3100 |
Organization Subpart ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX Q8036) |
Enumeration Date | 2018-08-27 |
Last Update Date | 2018-09-22 |