| NPI | 1366845711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEA ANN JORDAN President 281-292-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: TX 1247502) |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2021-07-19 |