| NPI | 1184192049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAVID GHANDEHARI Owner 210-845-6268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2018-11-08 |
| Last Update Date | 2018-11-08 |