| NPI | 1720568793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN BARKER Administrator 210-254-0891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 261Q00000X |
| Enumeration Date | 2018-08-18 |
| Last Update Date | 2018-10-22 |