| NPI | 1659736973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NELSON K BOND Md 844-342-2227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: TX L4253) |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL ME111629) |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2015-12-31 |
| Last Update Date | 2024-04-30 |