| NPI | 1447564596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID GEORGE MARKOVICH Owner 817-995-3793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: TX 1100832) |
| Enumeration Date | 2010-07-31 |
| Last Update Date | 2010-07-31 |