| NPI | 1144823295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARREN CHASE Owner 281-599-3039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation Sports Medicine |
| Enumeration Date | 2020-11-20 |
| Last Update Date | 2021-11-09 |