NPI | 1366822298 |
---|---|
Entity Type | Organization |
Authorized Contact | RAFAEL JUSTIZ Owner 405-606-8950 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: OK 27480) |
Enumeration Date | 2015-06-05 |
Last Update Date | 2023-03-07 |