| NPI | 1710316997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN T AGANA Owner 281-419-3366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2013-11-07 |