| NPI | 1205656089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STELLA C BAILEY Billing 726-203-4561 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2024-10-15 |
| Last Update Date | 2024-10-15 |