| NPI | 1467037465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL DEL BOSQUE Owner 469-251-1734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207X00000X Orthopaedic Surgery | |
| Enumeration Date | 2021-03-11 |
| Last Update Date | 2021-03-11 |