| NPI | 1043583685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE S TURNER Treasury 817-908-5028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: TX 671880000) |
| Enumeration Date | 2012-02-13 |
| Last Update Date | 2012-02-13 |