| NPI | 1770705865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMAR DAMASO VIDAL Director 713-751-0631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: TX K8553) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX K8553) |
| 208VP0000X Pain Medicine Pain Medicine (Licence: TX K8553) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2011-01-07 |