| NPI | 1336544840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN SCOTT HAMILTON Member 512-845-6346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: TX P3633) |
| Enumeration Date | 2014-10-27 |
| Last Update Date | 2014-10-27 |