| NPI | 1427614379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH SPARENBERG CFO 713-489-1741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2019-05-16 |
| Last Update Date | 2019-05-30 |