| NPI | 1609141324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HECTOR OSCAR MOLINA Medical Director 214-596-8628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: TX K2755) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TX K2755) |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2012-03-13 |