| NPI | 1265079230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH PEREZ Authorized Official 713-319-5665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 111N00000X Chiropractor |
| 111NR0400X Chiropractor Rehabilitation | |
| 2081P2900X Physical Medicine & Rehabilitation Pain Medicine | |
| 208VP0014X Pain Medicine Interventional Pain Medicine | |
| Enumeration Date | 2019-12-09 |
| Last Update Date | 2020-07-08 |