| NPI | 1588445944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH AREVALO Owner 956-223-0173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain |
| Additional Taxonomies | 111N00000X Chiropractor |
| 207LP2900X Anesthesiology, Pain Medicine | |
| Enumeration Date | 2023-10-11 |
| Last Update Date | 2023-10-12 |