| NPI | 1316312317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE HAASS Credentialing Specialist 210-391-2653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Enumeration Date | 2015-12-02 |
| Last Update Date | 2015-12-02 |