| NPI | 1649010752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN VAWTER Authorized Official 214-970-6817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2024-05-28 |
| Last Update Date | 2024-05-28 |