| NPI | 1063138469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHBUDIN SUNESARA Office Manager 832-868-1817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2022-10-17 |
| Last Update Date | 2022-10-19 |