| NPI | 1699100024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC ISSAC RAY Owner/President 817-898-7277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX M8943) |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2014-05-13 |