| NPI | 1720743982 |
|---|---|
| Doing Business As | COWTOWN HEADACHE CENTER |
| Entity Type | Organization |
| Authorized Contact | ANDREW LAVEAR Owner 636-575-0888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2021-11-03 |
| Last Update Date | 2023-02-20 |