| NPI | 1508201898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMARAO V PASUPULETI Physician 270-282-7116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2013-10-22 |