| NPI | 1689537029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXIS GARZA Owner/Manager 316-761-4789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2025-12-03 |
| Last Update Date | 2026-01-13 |