| NPI | 1174213961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA A SANDEFUR CEO 281-650-3036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 111N00000X Chiropractor |
| 225100000X Physical Therapist | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2023-05-15 |
| Last Update Date | 2023-06-22 |