| NPI | 1073063871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORETTA OUTLAW-LAM Administrator 469-341-0103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: TX 108938) |
| Additional Taxonomies | 283X00000X Rehabilitation Hospital |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2016-10-05 |