| NPI | 1336324953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA DIANE LACKEY Office Manager 972-270-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: TX 661700000) |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2008-01-02 |