| NPI | 1437718913 |
|---|---|
| Other Name | CENTEX SPINE & REHAB, LLC |
| Entity Type | Organization |
| Authorized Contact | SHAWN A FYKE President 254-235-0708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2020-04-20 |