| NPI | 1710187737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM TOMPKINS Director Of Office Operations 979-774-9958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2023-08-17 |