Organization · NPI-2

1st South Texas Pain Management

Radiology, Diagnostic Radiology · Houston, TX

NPI number1043583008

StatusActive

Last updated in NPPESFeb 21, 2012

Details

NPI: 1043583008
Entity type: Organization (NPI-2)
Legal business name: 1st South Texas Pain Management
Organization subpart: No
Enumeration date: Feb 21, 2012
Last updated: Feb 21, 2012

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
2085R0202X	Radiology, Diagnostic Radiology	–	–	Yes
2085B0100X	Radiology, Body Imaging	–	–

Practice location

1431 Wirt Rd.
113
Houston, TX 77055

Phone 713-370-3286

Mailing address

1431 Wirt Rd.
113
Houston, TX 77055

Phone 713-370-3286

Authorized official

Daniel Cantu
President
7133703286

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