| NPI | 1245754357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DENNIS CAYANAN ALFONSO Manager 210-571-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX P4538) |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2019-10-09 |