| NPI | 1336642511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA L SCOTT Authorized Official 832-454-2848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2018-03-17 |