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 |