| NPI | 1477806594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT T HOWELL Owner 940-566-3599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: TX P3183) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: TX PA02285) |
| Enumeration Date | 2012-10-26 |
| Last Update Date | 2021-03-18 |