| NPI | 1184723470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM SEGAL Owner 972-608-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: TX ATO529) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2008-04-20 |