| NPI | 1215758453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENRIQUE VILLALOBOS-SILVA Owner/Director 915-219-4246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Enumeration Date | 2024-10-21 |
| Last Update Date | 2024-10-21 |