| NPI | 1407358641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES M DIETER President 281-944-4701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2018-03-04 |
| Last Update Date | 2021-05-05 |