| NPI | 1164646428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY LYNN SWEED President 281-242-5807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: TX 7392) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 7392) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0075320) | |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2015-02-10 |