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 |