| NPI | 1265921555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIJITA PATEL Owner 915-455-2266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX R6072) |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2023-11-09 |