| NPI | 1073776159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY DIKES COO 817-737-0006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: TX 1098580) |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2012-09-10 |