| NPI | 1548734213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY B SONNIER CEO Owner 225-292-1969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2019-01-16 |
| Last Update Date | 2019-01-16 |