| NPI | 1174066120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY VILLARD CEO/ President 469-865-7297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: TX 1124683) |
| Enumeration Date | 2016-11-23 |
| Last Update Date | 2018-09-12 |