NPI | 1740531409 |
---|---|
Entity Type | Organization |
Authorized Contact | KELLEY HUIZAR CEO 765-838-1660 |
Organization Subpart ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
Additional Taxonomies | 207L00000X Anesthesiology |
207Q00000X Family Medicine | |
207R00000X Internal Medicine | |
208600000X Surgery | |
208D00000X General Practice | |
208VP0014X Pain Medicine, Interventional Pain Medicine | |
213E00000X Podiatrist | |
213ES0103X Podiatrist, Foot & Ankle Surgery | |
225100000X Physical Therapist | |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
364S00000X Clinical Nurse Specialist | |
Enumeration Date | 2012-09-20 |
Last Update Date | 2012-09-20 |