| NPI | 1730900127 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | BRISSA PALACIOS Director Of Operations 325-998-3477 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine | 
| Additional Taxonomies | 164W00000X Licensed Practical Nurse | 
| 224Z00000X Occupational Therapy Assistant | |
| 225100000X Physical Therapist | |
| 225200000X Physical Therapy Assistant | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2024-10-18 | 
| Last Update Date | 2024-10-18 |