| NPI | 1659801025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACIA DEL ROSARIO Sole Proprietor 817-966-2163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX K7521) |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2017-06-18 |