| NPI | 1669787669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID A OLVERA Authorized Representative 409-939-4631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX N3960) |
| Enumeration Date | 2010-08-13 |
| Last Update Date | 2010-08-13 |