| NPI | 1083996623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA M ARBUCKLE Director, Licensing & Enrollment 214-239-6501 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2011-09-09 |
| Last Update Date | 2021-05-26 |