| NPI | 1851103147 |
|---|---|
| Doing Business As | EXCELSIOR PAIN MANAGEMENT PLLC |
| Doing Business As | EXCELSIOR PAIN MANAGEMENT |
| Entity Type | Organization |
| Authorized Contact | VERONICA IBANEZ Credentialing 432-386-6429 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208VP0000X |
| Enumeration Date | 2025-01-23 |
| Last Update Date | 2025-01-27 |