| NPI | 1033755533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIETEL VIERA PEREZ General Manager 832-310-8119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor Rehabilitation |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2019-11-20 |