| NPI | 1265767222 |
|---|---|
| Other Name | KINGWOOD LOCATION |
| Entity Type | Organization |
| Authorized Contact | JERRY M KEEPERS President 713-943-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: TX G1453) |
| Enumeration Date | 2009-10-08 |
| Last Update Date | 2009-10-08 |