| NPI | 1497088207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIMMY V NINH Owner/Provider 281-412-5544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: TX TX2690) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 9284) |
| 111NR0400X Chiropractor, Rehabilitation (Licence: TX 9284) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: TX N2690) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX N2690) | |
| Enumeration Date | 2009-09-10 |
| Last Update Date | 2013-09-04 |