| NPI | 1073991964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTI L. GRIMSLEY Owner 903-391-8170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: TX 1099075) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: TX 1099075) |
| 261QH0700X Clinic/Center, Hearing and Speech (Licence: TX 108561) | |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2016-01-15 |