| NPI | 1235611666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRUNG VAN HA Owner 694-913-6136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: TX Q3883) |
| Enumeration Date | 2018-09-01 |
| Last Update Date | 2023-01-31 |