| NPI | 1568840999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL STONER MATSON Owner, Chief Executive 281-807-6325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: TX 102175) |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2016-01-04 |