| NPI | 1609140821 |
|---|---|
| Doing Business As | NONE |
| Entity Type | Organization |
| Authorized Contact | RUBY A EVANS Ower 281-690-1681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: TX F0009838) |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2015-02-12 |