| NPI | 1356793509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRISCA CHIOMA UGHANZE Family Nurse Practitioner 817-908-7822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2016-07-11 |