| NPI | 1780982603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDICE RUGGIERO Credentialing Coordinator 832-698-5331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Enumeration Date | 2011-03-01 |
| Last Update Date | 2015-07-01 |