| NPI | 1194147280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA WINN Credentialing Specialist 512-738-0428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX M9920) |
| Enumeration Date | 2014-01-09 |
| Last Update Date | 2014-08-11 |