| NPI | 1437309192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE DE JESUS TREVINO Owner 361-883-1744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX F-2074) |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2009-01-20 |