| NPI | 1780274571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN SHEYDWASSER Owner/Manager 713-913-3764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 207LP2900X Anesthesiology, Pain Medicine | |
| Enumeration Date | 2021-01-25 |
| Last Update Date | 2021-10-13 |