| NPI | 1063440014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM S MARSH Owner 254-519-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2022-08-08 |