| NPI | 1225287006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE PRADO Physician 210-858-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX K9153) |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2008-10-01 |