| NPI | 1336533926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEROME PRATT Board President 806-353-3596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: TX 1094068) |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2015-03-23 |