| NPI | 1629392865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIKARIPUR D MANJUNATH Owner 469-774-8442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX K4140) |
| Enumeration Date | 2010-03-17 |
| Last Update Date | 2010-09-27 |