| NPI | 1710129192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT BRAZIEL CEO 940-464-0055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: TX 1161898) |
| Enumeration Date | 2009-03-31 |
| Last Update Date | 2010-07-01 |