| NPI | 1710323225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEN ANDERSON President 281-635-9634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 208200000X Plastic Surgery | |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2014-03-01 |