| NPI | 1619502226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL WEINKAUF Manager 214-534-9325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| 261QR0200X Clinic/Center, Radiology | |
| 261QR0400X Clinic/Center, Rehabilitation | |
| Enumeration Date | 2020-03-04 |
| Last Update Date | 2020-03-26 |