| NPI | 1003041963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADHAVI REDDY MUPPIDI Owner 817-284-9850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX L5064) |
| Enumeration Date | 2009-05-21 |
| Last Update Date | 2018-07-31 |