NPI | 1528322807 |
---|---|
Doing Business As | BCS PAIN CLINIC |
Entity Type | Organization |
Authorized Contact | BENJAMIN WILLIAM DUDYCHA Physician 979-764-7246 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP3300X Clinic/Center Pain (Licence: TX N1310) |
Enumeration Date | 2012-07-01 |
Last Update Date | 2022-06-05 |