| NPI | 1730832726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL A MARK Owner 281-236-5758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family |
| Enumeration Date | 2022-01-31 |
| Last Update Date | 2022-01-31 |