| NPI | 1275566960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP NGUYEN Comptroller 817-417-8782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: TX 646180000) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2020-08-22 |