| NPI | 1285915132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN M SACKS Owner 409-833-5288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: TX J0658) |
| Enumeration Date | 2011-09-06 |
| Last Update Date | 2011-09-06 |