NPI | 1457854812 |
---|---|
Doing Business As | INSTITUTE FOR PHYSICAL AND REGENERATIVE MEDICINE |
Entity Type | Organization |
Authorized Contact | LANCE C DURRETT Owner 281-367-6900 |
Organization Subpart ? | No |
Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine |
Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 2976) |
Enumeration Date | 2018-03-13 |
Last Update Date | 2018-03-13 |