| NPI | 1467999599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESI BARROGA Medical Director 214-369-7881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX M5042) |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2017-01-27 |
| Last Update Date | 2023-08-08 |