| NPI | 1538514500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEAN VINSON Owner 214-483-3550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Additional Taxonomies | 261QR0200X Clinic/Center Radiology |
| 261QS1200X Clinic/Center Sleep Disorder Diagnostic | |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2016-04-27 |