| NPI | 1396484283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK KYLE COMRIE Owner/Managing Director 469-768-0516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2022-05-31 |
| Last Update Date | 2022-05-31 |