| NPI | 1417079245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY ALAN JOHNSON CEO 979-846-2878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: TX 655490000) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-08-22 |