| NPI | 1548683279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEN LEE WHISLER-PARVIN Collections Coord. 972-417-9922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: TX DC8314) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: TX PT1107050) |
| 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: TX DC9745) | |
| 111NR0400X Chiropractor, Rehabilitation (Licence: TX DC9745) | |
| 111NR0400X Chiropractor, Rehabilitation (Licence: TX DC8314) | |
| Enumeration Date | 2014-01-31 |
| Last Update Date | 2015-08-14 |