| NPI | 1437580933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON TROJACEK Owner 254-729-0323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: TX 1144632) |
| Enumeration Date | 2013-12-09 |
| Last Update Date | 2019-12-27 |