| NPI | 1548983554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM ZACHARY SMITH Owner And CEO 210-963-7493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2022-09-23 |
| Last Update Date | 2022-12-06 |