| NPI | 1598215105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUANITA P EDWARDS Owner 281-788-2944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine Pain Medicine |
| Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine |
| 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: TX M7161) | |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2023-01-27 |