| NPI | 1154432706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH ADAMS Office Mgr 936-564-2710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: TX K4263) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: TX K9503) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2011-01-21 |