| NPI | 1770855314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BODRE MACK RISING President/Owner 409-289-1411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2012-01-27 |
| Last Update Date | 2012-01-27 |