| NPI | 1891778171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG A CHARLESTON Owner 409-892-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2011-08-02 |