| NPI | 1720747561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH CHAMBERS Office Administrator 469-534-3669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2021-12-09 |
| Last Update Date | 2022-01-10 |