| NPI | 1194727446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRIS GOMEZ Practice Manager 817-283-9435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: TX 646300000) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: TX 601960000) |
| 261QX0100X Clinic/Center, Occupational Medicine | |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2022-09-09 |