| NPI | 1710496245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRT REPP Managing Member 281-831-6290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Additional Taxonomies | 293D00000X Physiological Laboratory |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2020-11-11 |