| NPI | 1760809917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN C. CHAVEZ Owner 512-796-3624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2024-09-20 |