| NPI | 1093121824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL TIMOTHY WARD President 979-739-3940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: TX 1130268) |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2015-07-22 |