| NPI | 1174798540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FIDES MANGAHAS VALENCIA President 713-419-4840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: TX 1039501) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2008-04-28 |