| NPI | 1376763946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH A GOLDEN Practice Administrator 817-346-7800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX J0452) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2011-11-23 |