| NPI | 1699635466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUGENIO J VILLARREAL Auth Off 800-531-1587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2025-11-14 |
| Last Update Date | 2025-11-14 |