| NPI | 1639172083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNETTE MARIE LAMB Office Manager 361-980-9312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX K0885) |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2020-08-22 |