| NPI | 1053546283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD A BUCZEK Owner 281-363-2829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: TX 110312) |
| Enumeration Date | 2009-05-18 |
| Last Update Date | 2009-05-18 |