| NPI | 1134681349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID JANWAY COO 972-850-9179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2021-02-04 |