| NPI | 1447822200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GALVARINO GUERRERO Administrator 281-800-9549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 261QX0100X Clinic/Center, Occupational Medicine | |
| Enumeration Date | 2021-07-12 |
| Last Update Date | 2021-07-12 |