| NPI | 1538816194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN MOHAMAD HIJAZI Owner 279-321-9348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2022-03-03 |
| Last Update Date | 2022-09-19 |