| NPI | 1265981625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS O VIESCA Owner 915-857-4130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: TX L5602) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2023-04-20 |