| NPI | 1386073104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELIPA CANCHOLA General Manager 956-627-3151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX L8122) |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: TX L8122) |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: TX L8122) | |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2021-03-01 |