NPI | 1790229516 |
---|---|
Entity Type | Organization |
Authorized Contact | TIFFANY JOLLEY Director Of Credentialing 713-620-4000 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
Additional Taxonomies | 207L00000X Anesthesiology |
207LP2900X Anesthesiology, Pain Medicine | |
367500000X Nurse Anesthetist, Certified Registered | |
208VP0000X Pain Medicine, Pain Medicine | |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2016-12-13 |
Last Update Date | 2018-05-30 |