| NPI | 1629156542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA L SCOTT Authorized Official 832-454-2848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX J3427) |
| 207Q00000X Family Medicine (Licence: TX DO2028) | |
| 225100000X Physical Therapist (Licence: TX 1090850) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX L1947) | |
| 111N00000X Chiropractor | |
| 111NX0100X Chiropractor, Occupational Health | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2017-01-23 |