| 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 | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: TX M7161) |
| 207LP2900X Anesthesiology, Pain Medicine | |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2023-01-27 |