| NPI | 1043373434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROY M. BLACKBURN President 817-284-9850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: OR MD22132) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2020-08-22 |