| NPI | 1477864825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL G FUENTES Owner 361-888-7716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX K4062) |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2024-03-13 |