| NPI | 1629245394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMA CHITTAJALLU PRYNE Owner 512-293-5388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: TX 110881) |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2008-05-13 |