| NPI | 1669863601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLAKE KRETZ President 817-960-6539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0404X Clinic/Center, Rehabilitation, Cardiac Facilities (Licence: TX 000422) |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2020-11-11 |