| NPI | 1568992600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAM NELSON Billing Supervisor 956-687-8120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: NM MD2017-0016) |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2017-06-12 |