| NPI | 1275866923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA MILLER Manager 409-673-7103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX j8193) |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2009-09-14 |