| NPI | 1366807075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN C SCHICK Owner 830-214-1798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: TX 454885) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-12-22 |
| Last Update Date | 2024-04-12 |