| NPI | 1659799518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS T FUKE Owner 281-991-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: TX m6138) |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2014-03-28 |