| NPI | 1811249352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVIN PETTIET Member 281-351-7272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2012-10-09 |