NPI | 1851721930 |
---|---|
Entity Type | Organization |
Authorized Contact | IVAN EDWARDS President 210-370-9712 |
Organization Subpart ? | No |
Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: TX N6275) |
Enumeration Date | 2013-11-26 |
Last Update Date | 2013-11-26 |