| NPI | 1316468952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STARR JONES Business Office Manager 936-756-3464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2022-07-21 |