| NPI | 1528795150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG A CHARLESTON Authorized Official / Md 281-713-5556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2022-08-03 |
| Last Update Date | 2022-08-03 |