| 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 |
| 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 |