| NPI | 1790285930 |
|---|---|
| Doing Business As | KETAMINE INFUSION CLINIC OF EL PASO |
| Entity Type | Organization |
| Authorized Contact | HECTOR MUNIZ Clinical Supervisor 915-740-0067 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX G8120) |
| Enumeration Date | 2018-02-14 |
| Last Update Date | 2018-02-14 |