| NPI | 1467404129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL JONES Administrator 512-440-1441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: TX 651340000) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2020-08-22 |