| NPI | 1285999417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN WALLACE PARK Coowner 832-403-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: TX n11392) |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2012-07-13 |