| NPI | 1598073702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ADRIAN OLVERA Authorized Representative 409-939-4361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Enumeration Date | 2010-09-22 |
| Last Update Date | 2010-09-22 |