| NPI | 1821341355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL FREDERICK Md/Owner 512-485-7208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: TX L9364) |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2021-09-29 |