| NPI | 1518486372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE LUIS NIETO Owner 915-329-8764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX Q2071) |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2017-09-20 |