| NPI | 1700828381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAM FONTENOT Owner 281-252-3438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: TX 1001675) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2020-08-22 |