| NPI | 1164922365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANCE M HOOVER Admin 210-737-4406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX K3753) |
| Enumeration Date | 2018-02-15 |
| Last Update Date | 2018-02-15 |