| NPI | 1699144881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTNE VIDOURIA Owner 210-767-2258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: TX M1395) |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2015-09-18 |