| NPI | 1487427589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHADY MUSSA Director 281-302-4088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| Enumeration Date | 2023-11-01 |
| Last Update Date | 2023-11-01 |