| NPI | 1437459104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELCEY L WILLIAMS Owner/Rendering Provider 817-284-9850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2010-10-28 |
| Last Update Date | 2025-03-31 |