| NPI | 1326477514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLAVIO JURADO Otr 210-638-1355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: TX 112304) |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2013-11-07 |