| NPI | 1649493149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN WALLACE PARK Administrator 713-270-0077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: TX F006212) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |