| NPI | 1578994703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHALIE BLACKSTOCK Director Rcm Division 512-788-3411 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: TX F8173) |
| Enumeration Date | 2013-12-13 |
| Last Update Date | 2013-12-13 |