| NPI | 1194112672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE MARIE BROCK Clinical Therapist 254-833-0781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: TX 101Y00000X) |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2015-04-22 |