| NPI | 1093126153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EPHRAIM TIMOTHY KENG Owner 817-284-9850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2014-05-12 |