| NPI | 1255144689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKHAIL FUKSHANSKY President 832-693-1247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2025-01-29 |
| Last Update Date | 2025-01-29 |