| NPI | 1245680255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY L GENTRY Physician 713-400-3038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: TX N8918) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX N8918) |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2016-06-21 |