| NPI | 1639486947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD MCCARTY Owner/Member Athletic Trainer 915-590-9990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: TX AT4431) |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2010-09-08 |