| NPI | 1013410802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA SHANEL BARRETT President 915-539-7841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX Q7639) |
| Enumeration Date | 2018-03-17 |
| Last Update Date | 2023-09-20 |