| NPI | 1235404625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | C. MICHEL OLIVA Owner 806-791-3377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: TX h8299) |
| Enumeration Date | 2012-03-19 |
| Last Update Date | 2012-03-19 |