| NPI | 1679017776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHINETRA COOK Physical Therapist 832-584-9657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: TX 1221275) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1221275) |
| 2251C2600X Physical Therapist, Cardiopulmonary (Licence: TX 1221275) | |
| 2251G0304X Physical Therapist, Geriatrics (Licence: TX 1221275) | |
| 2251P0200X Physical Therapist, Pediatrics (Licence: TX 1221275) | |
| 2251S0007X Physical Therapist, Sports (Licence: TX 1221275) | |
| 261Q00000X (Licence: TX 1221275) | |
| 305R00000X Preferred Provider Organization (Licence: TX 1221275) | |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2019-06-11 |