| NPI | 1316991441 |
|---|---|
| Doing Business As | NACOGDOCHES PHYSICAL EXELLENCE CENTER |
| Entity Type | Organization |
| Authorized Contact | MAX H MITCHELL Administrator 936-564-7780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2011-06-27 |