| NPI | 1134262520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADHAVI MUPPIDI Provider 214-529-8332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX L5064) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2022-05-12 |