| NPI | 1134903719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEAN ALLEN Owner 817-416-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 111N00000X Chiropractor | |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2023-08-23 |
| Last Update Date | 2023-08-23 |