NPI | 1083367999 |
---|---|
Entity Type | Organization |
Authorized Contact | MARYANN SPIRES Owner 713-565-0267 |
Organization Subpart ? | No |
Primary Taxonomy | 111NR0400X |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
261QP2000X Clinic/Center, Physical Therapy | |
261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
Enumeration Date | 2022-01-31 |
Last Update Date | 2022-02-01 |