| NPI | 1295756112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR GRAY Physician 662-842-4919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MS 15561) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2014-02-18 |