| NPI | 1598791634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA ROACH Center Director 512-891-9191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine |
| 293D00000X Physiological Laboratory | |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2020-08-22 |