| NPI | 1083679054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILLY L SKIDMORE Head Athletic Trainer 469-593-5033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: TX AT2456) |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2020-08-22 |