| NPI | 1164416988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY C CUEVAS President 936-552-7044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: TX 1101582) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: TX 1108322) |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2008-03-05 |