| NPI | 1295922193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT RAY BRAZIEL Memeber 940-210-8084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: TX 1161898) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: TX 2051270) |
| 261QP2000X Clinic/Center, Physical Therapy (Licence: TX 1176807) | |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2007-10-27 |