| NPI | 1144893942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON PALMER VP Of Business Development 281-974-4860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261QR0400X Clinic/Center, Rehabilitation | |
| Enumeration Date | 2021-07-20 |
| Last Update Date | 2023-11-09 |