| NPI | 1326633165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHADI AWWAD Owner 832-628-2759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2021-03-03 |
| Last Update Date | 2021-03-03 |