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 |