| NPI | 1396771879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN T AGANA Physician/Owner 281-419-3366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 305S00000X Point of Service (Licence: TX J4680) |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2025-01-29 |