| NPI | 1285250506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON-MICHAEL RESURRECCION ONG Owner 713-501-1461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2020-06-23 |