| NPI | 1174109888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN MENDEZ Director Of Credentialing 972-469-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2023-11-12 |