| NPI | 1467829838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARRETT WELCH Owner/Ot 254-235-4263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: TX 115277) |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2019-04-09 |