| NPI | 1851581052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH L FULTS President 713-981-1522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: TX D5384) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2007-07-25 |