| NPI | 1457742876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMAR VIDAL Pain Specialist 713-592-6545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TX K0106) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX K8553) |
| Enumeration Date | 2015-02-06 |
| Last Update Date | 2015-02-06 |