| NPI | 1205489010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BHARATKUMAR H FUMAKIYA Owner 214-620-1267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2019-07-20 |
| Last Update Date | 2019-08-05 |