| NPI | 1659084952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NADER JAMAL AWWAD Owner 817-275-9249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 111N00000X Chiropractor |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2023-01-02 |
| Last Update Date | 2023-01-02 |