| NPI | 1144846791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA BARRETT Coordinator 817-573-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| 261QX0100X Clinic/Center, Occupational Medicine | |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2020-06-19 |