| NPI | 1932028438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID KEITH HAGSTROM Interventional Pain Medicine 806-438-4452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2026-07-10 |
| Last Update Date | 2026-07-13 |