| 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 |