| NPI | 1568662914 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | MORGAN B KRULL Medical Office Management 512-363-5779  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX L3246)  | 
| Enumeration Date | 2007-07-24 | 
| Last Update Date | 2007-07-24 |