NPI | 1124100961 |
---|---|
Doing Business As | WELLSPRING PAIN SOLUTIONS |
Entity Type | Organization |
Authorized Contact | SANDFORD MATTHEW SCHOCKET CEO 512-584-8404 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
Additional Taxonomies | 163W00000X Registered Nurse |
207LP2900X Anesthesiology, Pain Medicine | |
208100000X Physical Medicine & Rehabilitation | |
332B00000X Durable Medical Equipment & Medical Supplies | |
363A00000X Physician Assistant | |
Enumeration Date | 2006-10-20 |
Last Update Date | 2024-05-17 |