| NPI | 1598085243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM ALEC TISDALL President 210-541-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2010-06-04 |
| Last Update Date | 2018-04-05 |