| NPI | 1235821372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA REBECCA REAVIS Ot 210-364-1803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0100X Clinic/Center, Occupational Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2023-05-25 |
| Last Update Date | 2023-05-25 |