| NPI | 1154976025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN MICHAEL SIMS Owner 936-756-3464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2020-12-22 |