NPI | 1306077482 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT P. WILLS President 512-416-7246 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine |
Additional Taxonomies | 1041C0700X Social Worker Clinical |
363AM0700X Physician Assistant Medical | |
207LP2900X Anesthesiology Pain Medicine | |
363LF0000X Nurse Practitioner Family | |
101YP2500X Counselor Professional | |
111N00000X Chiropractor | |
225100000X Physical Therapist | |
363LA2200X Nurse Practitioner Adult Health | |
104100000X Social Worker | |
208100000X Physical Medicine & Rehabilitation | |
2081P2900X Physical Medicine & Rehabilitation Pain Medicine | |
Enumeration Date | 2009-08-06 |
Last Update Date | 2015-12-28 |