| NPI | 1699175059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY LEE CAMPBELL Physician/Owner 210-744-6729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2014-09-03 |