| NPI | 1215395694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALVIN TROCON PETERS Md/Owner 214-986-3010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA 138038) |
| Enumeration Date | 2016-02-01 |
| Last Update Date | 2016-02-01 |