| NPI | 1770291767 |
|---|---|
| Doing Business As | FYZICAL GRAPEVINE |
| Entity Type | Organization |
| Authorized Contact | ALAN REX Owner 214-477-8819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2022-11-09 |
| Last Update Date | 2023-05-04 |