| NPI | 1437604634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BLANTON CEO 210-805-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: TX M5388) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: TX M4663) |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2023-02-21 |