| 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 |