| NPI | 1548642531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUSTEN M WATKINS President 817-336-7188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX K9414) |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2021-10-14 |