| NPI | 1568656403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CULLEN F TENNISON Owner 512-275-0282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: TX 1130250) |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2012-09-07 |