| NPI | 1861190753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSEMARY DE LA CRUZ Physician Owner 833-339-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2023-02-20 |
| Last Update Date | 2024-07-22 |