| NPI | 1164009254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT DUNBAR Co Owner 254-238-7836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2021-05-04 |