| NPI | 1508571985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH O'NEIL Administrator 409-789-8203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2023-01-19 |
| Last Update Date | 2023-05-17 |