| NPI | 1073196382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STELLA C ENELICHI Director 281-660-8661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Additional Taxonomies | 2081N0008X Physical Medicine & Rehabilitation Neuromuscular Medicine |
| 261Q00000X Clinic/Center | |
| 261QP2000X Clinic/Center Physical Therapy | |
| 261QX0100X Clinic/Center Occupational Medicine | |
| Enumeration Date | 2021-05-04 |
| Last Update Date | 2021-05-04 |