| NPI | 1245434422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHUONG L GILMORE Manager Assistant 281-564-8909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: TX F5948) |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2009-08-13 |