NPI | 1972069961 |
---|---|
Entity Type | Organization |
Authorized Contact | ARTEMUS FLAGG Owner 985-288-5088 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
Enumeration Date | 2019-02-14 |
Last Update Date | 2023-11-21 |