| NPI | 1154839736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOFIA WEIGEL Owner 214-525-0681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX J8413) |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2018-01-17 |