| NPI | 1841305521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID M FORMAN Vice President 956-440-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 008099) |
| Additional Taxonomies | 261QP3300X Clinic/Center, Pain (Licence: TX 008099) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2009-10-05 |