NPI | 1972731495 |
---|---|
Doing Business As | HIGHLAND LAKES PAIN CLINIC |
Entity Type | Organization |
Authorized Contact | SEAN G. BURGEST President 512-868-4352 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0000X Pain Medicine Pain Medicine (Licence: TX L9637) |
Enumeration Date | 2009-06-23 |
Last Update Date | 2011-01-25 |