| NPI | 1407095094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAGED MINA Ower 210-402-6561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: TX K8345) |
| Enumeration Date | 2009-02-05 |
| Last Update Date | 2009-02-05 |