| NPI | 1619698511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH NGUYEN Doctor Of Physical Therapy 214-276-1207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Additional Taxonomies | 261QC1500X Clinic/Center Community Health |
| 261QH0100X Clinic/Center Health Service | |
| 302R00000X Health Maintenance Organization | |
| 305S00000X Point of Service | |
| Enumeration Date | 2022-09-08 |
| Last Update Date | 2022-09-08 |