| NPI | 1376723833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAVIS WILLIAM HIRD Owner/Provider 832-368-4232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: TX L5767) |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2024-02-12 |