| NPI | 1386978187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GORDON A BEARDWOOD Owner 210-824-5292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine |
| Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine |
| 2081P2900X Physical Medicine & Rehabilitation Pain Medicine | |
| Enumeration Date | 2009-09-25 |
| Last Update Date | 2009-10-27 |