| NPI | 1437459104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELCEY L WILLIAMS Owner/Rendering Provider 361-407-1230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX L7926) |
| Enumeration Date | 2010-10-28 |
| Last Update Date | 2019-11-19 |