| NPI | 1699493304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN ARDOIN Owner 832-547-3508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine |
| Enumeration Date | 2022-08-18 |
| Last Update Date | 2022-08-18 |