| NPI | 1952334633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA G PATINO Practice Administrator 281-875-0830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX K3682) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: TX J4668) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2020-08-22 |