| NPI | 1134761935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADNAN KHAN Credentialing Administrator 512-400-4195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2019-10-13 |
| Last Update Date | 2022-12-20 |