| NPI | 1962914192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMION SCRUGGS Office Manager 832-503-0615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 261QP3300X Clinic/Center, Pain |
| Enumeration Date | 2017-10-27 |
| Last Update Date | 2017-10-27 |