| NPI | 1013424514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESSIA LYDON POLK Chief Executive Officer 214-729-8750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2127329) |
| Additional Taxonomies | 251B00000X Case Management |
| 251J00000X Nursing Care | |
| 251S00000X Community/Behavioral Health | |
| 252Y00000X Early Intervention Provider Agency | |
| 261Q00000X Clinic/Center | |
| 261QH0100X Clinic/Center Health Service | |
| 261QP2000X Clinic/Center Physical Therapy | |
| 261QR0400X Clinic/Center Rehabilitation | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2018-01-05 |
| Last Update Date | 2018-01-05 |