NPI | 1821361692 |
---|---|
Doing Business As | RUDY TOMJANOVICH MULTI-DISCIPLINARY PAIN MANAGEMENT PROGRAM |
Entity Type | Organization |
Authorized Contact | TAMMY REED TAYLOR Director Of Operations 281-201-2950 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization |
Enumeration Date | 2012-02-09 |
Last Update Date | 2012-02-09 |