| NPI | 1184812612 |
|---|---|
| Doing Business As | SPORT & SPINE CLINIC OF EDGERTON |
| Entity Type | Organization |
| Authorized Contact | JANNA P. KING VP, Authorized Official 713-297-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2008-06-16 |