| NPI | 1477313484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE MARTINEZ Owner 682-285-1044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 111N00000X Chiropractor |
| 207L00000X Anesthesiology | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| Enumeration Date | 2024-03-19 |
| Last Update Date | 2024-03-19 |