| NPI | 1710120126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LOWRY Manager 210-558-0991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX J9179) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| 111N00000X Chiropractor (Licence: TX 8708) | |
| 111NN0400X Chiropractor, Neurology (Licence: TX 7412) | |
| 207Q00000X Family Medicine (Licence: TX G7610) | |
| 207QS0010X Family Medicine, Sports Medicine (Licence: TX M8431) | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: TX K6358) | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: TX L2764) | |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: TX L2764) | |
| 208D00000X General Practice (Licence: TX J9179) | |
| Enumeration Date | 2009-04-15 |
| Last Update Date | 2009-04-15 |