| NPI | 1043681356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSCAR L. AMPARAN President 817-250-7771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0404X Clinic/Center, Rehabilitation, Cardiac Facilities (Licence: TX 000235) |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2020-11-11 |