| NPI | 1487998498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE O NWORA Administrator 817-472-4344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: TX 1195461) |
| 261QP2300X Clinic/Center, Primary Care (Licence: TX 719954) | |
| 261QR0400X Clinic/Center, Rehabilitation (Licence: TX 1195461) | |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2013-05-14 |