| NPI | 1538477088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA M LEE Operations Manager 817-284-9850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P0004X Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine (Licence: TX M7692) |
| Enumeration Date | 2010-09-17 |
| Last Update Date | 2023-07-25 |