| NPI | 1588165344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARINA GYER Credentialing 832-884-8980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X |
| Additional Taxonomies | 261QP3300X Clinic/Center, Pain (Licence: TX P5268) |
| Enumeration Date | 2018-02-26 |
| Last Update Date | 2019-01-03 |