| NPI | 1154577559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA OSEI Practice Administrator 817-654-9448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2008-08-18 |