NPI | 1154976025 |
---|---|
Doing Business As | NORTH LAKES PAIN CONSULTANTS |
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 |