| NPI | 1285063990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALLENDA HACKER Owner 806-535-9695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX N9562) |
| Additional Taxonomies | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: TX N9562) |
| Enumeration Date | 2013-11-03 |
| Last Update Date | 2014-03-19 |