| NPI | 1881967917 |
|---|---|
| Doing Business As | OUTPATIENT PAIN & WELLNESS CLINIC |
| Entity Type | Organization |
| Authorized Contact | EDNA GRACE DOWSON Owner 281-745-7991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 521765) |
| Enumeration Date | 2012-02-21 |
| Last Update Date | 2012-02-21 |