| NPI | 1194683847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARRETT BARY Provider 512-343-2279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN0400X Chiropractor, Neurology |
| Additional Taxonomies | 225000000X Orthotic Fitter |
| 225100000X Physical Therapist | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2026-01-12 |
| Last Update Date | 2026-01-12 |