| NPI | 1568655314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA DOYLENE WILSON Owner/Physician 713-429-5919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX J8842) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX J8842) |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: TX J8842) | |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2012-03-12 |