| NPI | 1750989109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID DRURY Owner 512-284-7025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208VP0000X Pain Medicine Pain Medicine | |
| Enumeration Date | 2020-10-16 |
| Last Update Date | 2020-10-18 |