| NPI | 1497093017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YUSUF A MOSURO Owner 832-421-5273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: TX K7064) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX K7064) |
| Enumeration Date | 2013-01-17 |
| Last Update Date | 2013-01-17 |