| NPI | 1578104352 |
|---|---|
| Former Legal Business Name | LYMPHEDEMA THERAPY SPECIALISTS |
| Entity Type | Organization |
| Authorized Contact | BENJAMIN GOMEZ Revenue Cycle Manager 832-930-9819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2024-09-05 |