NPI | 1154823201 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL FREDERICK Md/Owner 512-485-7208 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX L9364) | |
Enumeration Date | 2018-03-05 |
Last Update Date | 2020-09-11 |