| NPI | 1629616974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELL B UPSHAW Managing Member 214-533-7865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2022-04-06 |