| NPI | 1134666506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA GRACIELA ORTEGA Billing Manager 806-213-9560 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2017-01-24 |
| Last Update Date | 2020-06-19 |