| NPI | 1366999286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESA HOUGH President 817-937-1522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2017-08-11 |