| NPI | 1629345913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI MATTHEWS Manager 512-250-1168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0100X Clinic/Center, Occupational Medicine |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 171000000X Military Health Care Provider | |
| 171100000X Acupuncturist | |
| 172M00000X Mechanotherapist | |
| 251V00000X Voluntary or Charitable | |
| 261QR0400X Clinic/Center, Rehabilitation | |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2012-05-21 |