NPI | 1316196082 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN C. BUCK President 512-279-2386 |
Organization Subpart ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX H4878) |
Additional Taxonomies | 204R00000X Electrodiagnostic Medicine (Licence: TX H4878) |
Enumeration Date | 2008-09-17 |
Last Update Date | 2011-05-12 |